[Repair of calcaneus and skin defects with allograft and sural neurovascular flap].

Autor:	Zhang Y; Department of Orthopedics, 15th Hospital of PLA, Wusu Xinjiang, 833000, PR China., Wang J, Wen B
Jazyk:	čínština
Zdroj:	Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery [Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi] 2004 Nov; Vol. 18 (6), pp. 468-70.
Abstrakt:	Objective: To investigate the clinical results of allograft and sural neurovascular flap in repairing calcaneus and skin defects. Methods: From February 1996 to December 2002, allograft and sural neurovascular flap were used to repair calcaneus and skin defects in 6 cases. The causes included road accident in 3 cases, strangulation in 2 cases and crashing object in 1 case. The defect locations were at the back of the calcaneus (1/3, 1/2 and 2/3 of calcaneus in 3 cases, 2 cases and 1 case respectively). The flap area ranged from 6 cm x 7 cm to 12 cm x 17 cm. Results: The flaps survived completely in 4 cases; the distal flaps necrosed partly in 2 cases and the wound healed by dressing. The postoperative X-ray films showed that the repaired bone and joint had normal position and the arcus plantaris recovered. After a follow up of 6 months to 3 years all the patients were achieved bone union in allograft and had no complications of absorption, infection and repulsion. The weight-bearing and walking functions were restored and the injured foot obtained a satisfactory contour. After 3-6 months of operation, the sensory recovery of foot occurred. Conclusion: The used allograft is easy to be obtained and arcus plantaris is easy to recover. The reverse sural neurovascular flap in repairing calcaneus and skin defects has the following advantages: the maintenance of blood supply for injured foot, the less dangerous operation, the simple procedure, the recovery of walking function, and the good appearance and sensation.
Databáze:	MEDLINE
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