■腿部下三分之一的软组织重建,脚踝,脚对重建外科医生来说是个挑战。重建的选择是有限的。逆行腓肠皮瓣相对容易执行,被认为是重建的好选择。研究中的并发症发生率是可变的。这项研究旨在系统地回顾所有基于反向腓肠皮瓣的可用文章,重点是皮瓣的并发症。皮瓣的整体复杂性有助于更好地理解皮瓣的可靠性。
■使用MEDLINE进行了全面的文献检索,EMBASE,和谷歌学者确定腓肠动脉逆行皮瓣的病例。
■对89篇文章进行了汇总分析,在19年的时间里产生了2575例患者(2592个皮瓣)。大多数病例在亚洲国家/地区进行(1540皮瓣,59.4%),其中大多数在中国进行(746次襟翼,28.8%)。逆行腓肠皮瓣手术的最常见原因是外伤/术后(1785/2592),其次是烧伤/疤痕。在2592个皮瓣中,有653个皮瓣并发症(25.20%)。最常见的并发症是部分皮瓣丢失,记录在204个皮瓣中(7.85%),其次是静脉充血(79个皮瓣,3.05%)。仅在66名参与者中观察到皮瓣完全丢失(占所有皮瓣的2.5%)。
■逆行腓肠皮瓣是重建小腿的可靠皮瓣,脚踝,和脚。当精心执行时,它可以提供与自由皮瓣相当的结果,在许多情况下,一个更好的结果。
UNASSIGNED: Soft tissue reconstruction of the lower third of the leg, the ankle, and the foot is challenging for reconstructive surgeons. The options for reconstruction are limited. Reverse sural flap is relatively easy to perform and considered a good option for reconstruction. The complication rates are variable in studies. This study aims to systemically
review all available articles based on reverse sural flap focusing on complications of the flap. The overall complication of the flap helps to better understand the reliability of the flap.
UNASSIGNED: A comprehensive literature search was performed using MEDLINE, EMBASE, and Google Scholar to identify cases of reverse sural artery flap.
UNASSIGNED: A pooled analysis of 89 articles was performed, which yielded 2575 patients (2592 flaps) over a period of 19 years. Most of the cases were performed in Asian countries (1540 flaps, 59.4%) with the majority being performed in China (746 flaps, 28.8%). The most common cause for reverse sural flap surgery was trauma/postsurgical (1785/2592) followed by burn/scarring. Flap complications were recorded in 653 of 2592 flaps (25.20%). The most common complication was partial flap loss, which was recorded in 204 flaps (7.85%) followed by venous congestion (79 flaps, 3.05%). Complete flap loss was observed only in 66 participants (2.5% of all the flaps performed).
UNASSIGNED: Reverse sural flap is reliable flap for the reconstruction of lower leg, ankle, and foot. It can give a comparable outcome as free flap when meticulously performed and, in many cases, a better result.