PDF(Pubmed)
Abstract：
BACKGROUND: Reconstruction of foot and ankle defects requires selecting an appropriate durable and aesthetically appealing option. From the different options, the procedure\'s choice depends on the defect\'s size, location, and donor area\'s availability. Patients\' main goal is to have an acceptable biomechanical outcome.
METHODS: In this prospective study, we have included patients who had undergone reconstruction of the ankle and foot defects between January 2019 and June 2021. Patient demographics, location and size of the defect, different procedures, complications, sensory recovery, ankle hindfoot score, and satisfaction score were recorded.
RESULTS: 50 patients with foot and ankle defects were enrolled in this study. All flaps survived except one free anterolateral thigh flap. Five locoregional flaps developed minor complications, and all skin grafts healed well. The Ankle Hindfoot Score outcome has no significant relation with the anatomical location of the defects and the reconstructive procedure. All patients reconstructed using random local flap and with free flap were satisfied with the aesthetic outcome.
CONCLUSIONS: Because of limited soft tissue, local flap availability is restricted to small defects. Satisfaction rates are high in local and free flaps and are best suited for reconstructing the weight-bearing part of the foot. Bulky flaps should be avoided over the dorsum and ankle region.
METHODS: In this prospective study, we have included patients who had undergone reconstruction of the ankle and foot defects between January 2019 and June 2021. Patient demographics, location and size of the defect, different procedures, complications, sensory recovery, ankle hindfoot score, and satisfaction score were recorded.
RESULTS: 50 patients with foot and ankle defects were enrolled in this study. All flaps survived except one free anterolateral thigh flap. Five locoregional flaps developed minor complications, and all skin grafts healed well. The Ankle Hindfoot Score outcome has no significant relation with the anatomical location of the defects and the reconstructive procedure. All patients reconstructed using random local flap and with free flap were satisfied with the aesthetic outcome.
CONCLUSIONS: Because of limited soft tissue, local flap availability is restricted to small defects. Satisfaction rates are high in local and free flaps and are best suited for reconstructing the weight-bearing part of the foot. Bulky flaps should be avoided over the dorsum and ankle region.
摘要：
背景：足部和踝关节缺损的重建需要选择合适的耐用和美观的选择。从不同的选择，过程的选择取决于缺陷的大小，location,和捐赠区的可用性。患者的主要目标是获得可接受的生物力学结果。
方法：在这项前瞻性研究中，我们纳入了在2019年1月至2021年6月期间接受踝关节和足部缺损重建的患者.患者人口统计学，缺陷的位置和大小，不同的程序，并发症,感官恢复,脚踝后足评分,并记录满意度评分。
结果：本研究纳入了50例足踝关节缺损患者。除一个游离股前外侧皮瓣外，所有皮瓣均存活。五个局部皮瓣出现轻微并发症，所有的植皮都痊愈了.踝关节后足评分结果与缺损的解剖位置和重建程序没有显着关系。所有使用随机局部皮瓣和游离皮瓣重建的患者对美学效果满意。
结论：由于软组织有限，局部皮瓣的可用性仅限于小缺陷。局部和自由皮瓣的满意率很高，最适合重建脚的负重部分。在背部和踝部区域应避免使用笨重的皮瓣。
方法：在这项前瞻性研究中，我们纳入了在2019年1月至2021年6月期间接受踝关节和足部缺损重建的患者.患者人口统计学，缺陷的位置和大小，不同的程序，并发症,感官恢复,脚踝后足评分,并记录满意度评分。
结果：本研究纳入了50例足踝关节缺损患者。除一个游离股前外侧皮瓣外，所有皮瓣均存活。五个局部皮瓣出现轻微并发症，所有的植皮都痊愈了.踝关节后足评分结果与缺损的解剖位置和重建程序没有显着关系。所有使用随机局部皮瓣和游离皮瓣重建的患者对美学效果满意。
结论：由于软组织有限，局部皮瓣的可用性仅限于小缺陷。局部和自由皮瓣的满意率很高，最适合重建脚的负重部分。在背部和踝部区域应避免使用笨重的皮瓣。
