The repair of the lower leg, ankle and foot soft tissue defects

The repair of the lower leg, ankle and foot soft tissue defects PowerPoint PPT Presentation


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The repair of the lower leg, ankle and foot soft tissue defects

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1. The repair of the lower leg, ankle and foot soft tissue defects H.S. Shu M.D. B.T. Ma M.D. Dept.of Orthopaedic Trauma TianJin Hospital P.R.China

2. For a variety of reasons, mainly anatomical, the skin and soft tissue defects in the lower leg and foot remain a challenging problem for orthopaedic and reconstructive surgeons.

4. Simple skin grafts, local random flaps, microvascular flaps, etc., has been used to tackle this difficult problem.

5. Over the past 15 years , Most popular flaps are the neurocutaneous island flap(skin island flaps supplied by the vascular axis of the sensitive superficial nerves)

6. Infected and nonunion fracture

7. Debridement+Ilizarov+Flap

9. Full weight bearing post op

10. Before After

13. Sural Neurocutaneous Island Flap

14. Drawing of the procedure

15. 7 year old boy,heel defect 14×11cm2

17. Post-Op 6 months, normal gait, no limp. The flap has protective sensation

19. 10 year-old-boy part of lateral malleolus and peroneus longus and brevis defect

22. Post-op 18 months,good function, no pes varus

23. 28-years-old man

36. Chronic calcaneal osteomyelitis

38. Saphanous neurocutaneous island flap

39. Drawing of the procedure

40. Varicose foot

41. 1.5cm skin bridge on the pedicle?

42. Flap completely survived

46. Post op Distal tibia Gustilo IIIC open fracture

49. One flap covered two wounds

50. Case 14

52. Supra-malleolar flap

53. Case 15

55. The first metatarsal head coverage

56. Case 16

60. Thank You

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