Medial plantar artery combined flaps with saphenous nerve in repairing opposite side ventri-planta soft tissue defects / 第二军医大学学报

ABSTRACT

Objective: To explore the feasibility of repairing opposite side ventri-planta soft tissue defects with the medial plantar artery combined flaps with saphenous nerve. Methods: From Jan. 2007 to Apr. 2009, 12 patients with opposite side ventri-planta soft tissue defects were repaired using the medial plantar artery combined flaps with saphenous nerve. Five cases used cross leg flaps, and 7 cases used free skin flaps. All the cases were men, with an age range of 6-40 years (only one child case). The sizes of flaps were 12 cm X 7 cm-13 cm X 8 cm for adults and 8.5 cm X 6 cm for child. The pedicles of cross leg flaps were cut off after 3-4 weeks. Results: All the 12 flaps survived. The patients were followed up for 6 months to 1 year. The color, texture and appearance of the flaps were satisfactory. The flaps of the two point discrimination were 6-9 mm on ventriplanta of reconstruction, and the affected limb could exercise freely, without ulcer on the flap. Conclusion: The medial plantar artery combined flaps with saphenous nerve can be used to repair opposite side ventri-planta vast soft tissue defects, with large flap and good texture, appearance. It can effectively recover the two point discrimination, but it has a complicated protocal.