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[Repair of soft tissue defect with combined skin flap]
1Department of Spinal Surgery, Lanzhou General Hospital of PLA, Lanzhou Gansu, P. R. China 730050.
Objective:
To investigate the clinical result in repair of soft tissue defect with combined skin flap vascularized by pedicle on the one end and vascular anastomosis on the other end.
Methods:
From October 1990 to August 1995, 5 cases with soft tissue defect at the extremities and 1 cases with sacral bed sore were repaired by the combined skin flaps transfer, ranged from 15 cm x 30 cm to 16 cm x 70 cm in defect, among them, 5 cases with myocutaneous flap and 1 case with skin flap, and the size of the combined skin flaps was 15 cm x 40 cm to 12 cm x 80 cm.
Results:
All the flaps were survived with satisfactory effect. Followed up 3 to 6 years, there was no obvious complication.
Conclusion:
Transfer of combined skin flaps vascularized by pedicle and vascular anastomosis is suitable to repair the soft tissue defect, especially in large area defect.