Article Sidebar

PDF
Date Published: 17/03/2023
Abstract Views: 364
Views PDF: 128
DOI: https://doi.org/10.51298/vmj.v524i1A.4630
Issue
Vol. 524 No. 1A (2023)
Section
Các bài báo
How to Cite
Đặng , K. V. ., Nguyễn, V. H. ., Nguyễn, V. P. ., Nguyễn, T. T. ., & Lê, V. C. . (2023). EVALUATE THE RESULTS OF PROPELLER FLAP FOR TREATMENT OF TISSUE DEFECT IN THE DISTAL LEG AND FOOT. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4630

EVALUATE THE RESULTS OF PROPELLER FLAP FOR TREATMENT OF TISSUE DEFECT IN THE DISTAL LEG AND FOOT

Khánh Vinh Đặng 1,, Vũ Hoàng Nguyễn1, Văn Phú Nguyễn2, Thanh Tùng Nguyễn3, Văn Chất Lê2
1 Thai Nguyen University Of Medicine And Pharmacy
2 Thai Nguyen central hospital
3 Thai nguyen central hospital

Main Article Content

Abstract

Objectives: To assess the effectiveness of propler flap with based on perforator vessels, from the anterior tibial artery, posterior tibial artery and peroneal artery in treatment of tissue defect in the distal leg and foot. Material and method: Prospective study 32 patients in whom we used propeller flaps to restore soft-tissue defects of the distal leg and foot in Thai Nguyen National Hospital from 11/2018 to 03/2022. Results: The results showed of 32 flaps :17 flaps (53.1%) were based on perforator from the posterior tibial atery, peroneal atery in 14 flaps (43,8%) and anteriaor tibial atery in 1 flaps (3,1%), flap rotations maxium to 180 degrees, surgical time from 60 miniutes to 180 miniutes, flaps size from 2 x 3 cm to 6,8 x 10 cm. Results 19 flaps are total survival (59, 4%), 13 flaps are partial necrosis. The long-term follow-up results were in 32 patients (mean times 26±12 months). The good results 100%, most flaps have the same color and thickness as the place of receipt. Conclusion: The propeller flap is an efficient and reliable choice, it has similar thickness and color, short surgery time and good coverage result.

Article Details

Keywords

propeller flap

References

1. Vũ Hữu Trung và Lâm Khánh và Lê Văn Đoàn (2020), "Ứng dụng vạt mạch xuyên cuống liền điều trị khuyết hổng phần mềm vùng cẳng chân", Tạp chí Y - Dược học quân sự. 3, tr. 42- 47.
2. K. X. Dong và các cộng sự. (2014), "Perforator pedicled propeller flaps for soft tissue coverage of lower leg and foot defects", Orthop Surg. 6(1), tr. 42-6.
3. M. A. Hifny và các cộng sự. (2020), "Propeller perforator flaps for coverage of soft tissue defects in the middle and distal lower extremities", Ann Chir Plast Esthet. 65(1), tr. 54-60.
4. H. Hyakusoku, T. Yamamoto và M. Fumiiri (1991), "The propeller flap method", Br J Plast Surg. 44(1), tr. 53-4.
5. I. Koshima và S. Soeda (1989), "Inferior epigastric artery skin flaps without rectus abdominis muscle", Br J Plast Surg. 42(6), tr. 645-8.
6. M. Pignatti và các cộng sự. (2011), "The "Tokyo" consensus on propeller flaps", Plast Reconstr Surg. 127(2), tr. 716-722.
7. L. Shen và các cộng sự. (2017), "Peroneal perforator pedicle propeller flap for lower leg soft tissue defect reconstruction: Clinical applications and treatment of venous congestion", J Int Med Res. 45(3), tr. 1074-1089.
8. A. Sisti và các cộng sự. (2016), "Propeller Flaps: A Literature Review", In Vivo. 30(4), tr. 351-73.
9. G. G. Hallock (2006), "The propeller flap version of the adductor muscle perforator flap for coverage of ischial or trochanteric pressure sores", Ann Plast Surg. 56(5), tr. 540-2.