TÍNH LINH HOẠT CỦA VẠT ĐÙI TRƯỚC NGOÀI ĐIỀU TRỊ CÁC KHUYẾT HỔNG PHẦN MỀM PHỨC TẠP VÙNG CỔ BÀN CHÂN

Abstract

Objective: To evaluate the flexibility of the anterolateral thigh flap in reconstructing the complicated defect of the ankle and foot. Method: From 09/2016 to 11/2022, 45 patients with complicated defects of ankle and foot at Xanh Pon general hospital and Hanoi Medical University Hospital were treated with different designs of anterolateral thigh flap. Result: The survival rate is 97,78%. There were 17/45 defects at the sole foot, with concurrent chronic osteoarthritis happening in 2 patients. 3/45 patients had Achille tendon defects. The remaining defects were at the dorsum of the foot. The design of the ALT flap includes 34 fascial cutaneous flaps, 6 chimeric myocutaneous flaps, 3 chimeric fascial cutaneous flaps, and 2 chimeric cutaneous-cutaneous flaps. The primary thinning technique was applied in 14 patients with 4/14 cases conducted under the microscope. The wound successfully healed in all patients without ulceration. The aesthetic results classified at good and quite good levels were 97,78%. All patients could walk by themselves with 44/45 cases wear normal shoes/sandal. Conclusion: The ALT flap with flexible designing methods is an appropriate plan to reconstruct the complicated defect of the ankle and foot.