我们报告了在糖尿病足患者中使用远端腓肠皮瓣修复足和踝关节缺损的软组织重建的经验。
实际的研究是回顾性的，打开,非受控,2019年5月至2021年12月对25例糖尿病足患者进行远端腓肠神经营养皮瓣重建的临床研究.
平均年龄为64.9岁,有15名男性和10名女性患者。平均随访时间为9.8个月，6到12个月不等。皮瓣的尺寸范围为6×5至15×9cm2。25个皮瓣中有22个完整存活，血液供应充足。两例有一个小的浅表坏死，在每天换衣服后得到解决，最终被穿上了高跟鞋。在一个案例中,观察到部分坏死，通过轻微翻修和使用分层厚度的皮肤移植物进行处理。
远端腓肠皮瓣被认为可用于重建糖尿病足患者的足和踝关节缺损。
We report our experience on the use of a distally based sural flap for soft tissue reconstruction of foot and ankle defects in patients with diabetic foot.
The actual study is a retrospective, open, non-controlled, and clinical study of 25 patients treated with diabetic foot on whom reconstruction with distally based sural neurocutaneous flaps was performed from May 2019 to December 2021.
The mean age was 64.9 years, and there were 15 male and 10 female patients. The mean follow-up was 9.8 months, which ranged from 6 to 12 months. The size of the flaps ranged from 6 × 5 to 15 × 9 cm2. Twenty-two of the 25 flaps survived intact with sufficient blood supply. Two cases had a small superficial necrosis, which was resolved after a change of daily dressing and was heeled eventually. In one case, partial necrosis was observed that was managed with minor revision and the use of split-thickness skin graft.
The distally based sural flap is considered to be useful for reconstruction of foot and ankle defects in patients with diabetic foot.
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