Clinical Research Of Medial Plantar Flap To Repair Soft Tissue Defect Of Hand And Foot

Objective: Analysis of the medial Plantar flap repair of soft tissue defectof limb impact on donor sites, and clinical application of the medialPlantar flap and its advantages and disadvantages.Methods: Retrospective analysis of2001-2013use of medial Plantar flaprepair of soft tissue defect in20patients. Of the20patients, flap20blocks.14cases of Neurovascular pedicle flap,3cases of reversedpedicle skin flap and free flap in3cases. Male12, female8, age5-67years old with an average age of38years old. Parts of the skin defect:heel in12cases, planta in3cases,ankle in2cases，hand in3cases.Wound a large number of defect soft tissue defects. Skin defects of area3cmx3cm-7.5cmx6cm,3.5cmx3.5cm-8cmx6.5cm,20case for17patientswith skin flap pedicled flaps, free medial Plantar flap of2cases of medialplantar flap free zones coincide with an artery and two veins，1case ofmedial plantar flap free zones coincide with an artery and an vein.Results:19survived after surgery, one case of postoperative venous crisis,after the exploration of poor blood supply to skin graft donor sites are notcompletely closed, need skin graft, most survived well after re-skin graft,1case skin graft survival remote poor areas gradually cover for thedressing. Patients were followed up for6months to13years,19cases of flaps survived well, restoring protective sensation, good recovery for thearea, no obvious scar, I feel normal, skin graft donor sites survived wellwithout noticeable scar contracture and wound exposed, and1patienthad tenderness, two patients1,2distal toe numbness,2patients scarcontracture,4patients with varying degrees of pain for patients withpostoperative patients with ulcers, skin graft donor site at difference withthe surrounding colors are largerConclusion: Medial plantar flap for limb soft tissue defects affect asmall area, the medial plantar flap is the most comfortable to repair thedefect moderate foot and ankle, the ideal palm flap of skin defect.