ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU VẠT DA NHÁNH XUYÊN MÁC ĐIỀU TRỊ KHUYẾT HỔNG MÔ MỀM CẲNG CHÂN VÀ CỔ CHÂN

Abstract

Background: Skin defects and software organization are common injuries due to various causes such as trauma, postoperative removal of skin lesions (bone combination, open fractures, tumors, burns). Due to the anatomical characteristics of the lower legs, ankles, often thin skin, poor blood vessels, little stromal tissue and muscle, immediately below is the bone tendon structure, it is very easy to necrotize the skin or lose skin to expose tendons, bones, joints, blood vessels, nerves. This increases the risk of infection, if not treated early, properly will lead to necrosis, tendon sticking, osteoarthritis, arthritis, eventually lost of function. So early coverage is key to success and rehabilitation. Objective: The assessement of the effectiveness of peroneal artery perforater flap in covering the lower leg and ankle tissue defect (KHPM). Subjects and methods: 30 patients with tissue defects accompanied by tibia and ankle tendon are treated at the Department of Plastic Surgery, Orthopedic Trauma Hospital - Ho Chi Minh City, From January 2019 - December 2023. The peroneal artery perforater flap is used in covering the limb and ankle soft defects.Using Doppler ultrasound, identify the peroneal branch of the peroneal artery based on the path from the posterior border of the fibula to the posterior border of the external malleolus. Result: 26 cases were completely alive, 1 case was completely necrotic, 2 cases were sutured skin, and 1 case was grafted skin. Conclusion: The peroneal artery perforater flap  is highly reliable, selectable and flexible in flap design. Good coverage results, shortening treatment time