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[Surgical intervention in the treatment of skin defect of hell]
1Department of Orthopedic Surgery, Norman Bethune National Peace Hospital, Shijiazhuang, Hebei, P. R. China 050082.
Objective:
To investigate the efficacy of different flaps in the treatment of skin defect of hell.
Methods:
Forty-six patients with skin defect of hell were adopted in this study. There were 39 males and 7 females, 29 years old in average. Six different flaps were applied in the reconstructive operation, 14 plantaris medialis flaps, 4 flexor digitorum brevis muscle flaps, 3 abductor hallucis flaps, 7 latissimus dorsi flaps, 16 distal medialis flaps of leg pedicled with the cutaneous branch of posterior fibial artery, 2 foot dorsum flaps.
Results:
All the flaps survived, primary healing of the wound in 45 cases and secondary healing in 1 case. Followed up for 3 months to 4 years, 43 patients obtained good flap sensation, the function of weight bearing were satisfied in 43 patients.
Conclusion:
The six different flaps should be applied according to patient's condition individually. The sensation of flap is very important to the function of weight bearing.