The Journal of surgical research · 2025
A Three-step Algorithm for Axial Pattern Flap Selection in Repairing Deep Soft Tissue Defects of the Lower Extremity.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Wang Qian, Zhong Hai-Yan, Yang Rui, Chen Yong, Wang Min, Zou Ming-Li, Yuan Si-Ming
Аннотация
INTRODUCTION: This study aims to summarize an algorithm for flap selection in the repair of deep lower extremity defects with bone, tendon, or joint cavity exposure.
METHODS: The medical records of patients with deep lower extremity defects repaired using axial pattern flaps between January 2007 and December 2023 in our department were retrospectively reviewed. A three-step algorithm for axial pattern flap selection was formulated. Outcomes were evaluated based on flap survival rate, functional recovery of the affected limb, complications, and patient satisfaction.
RESULTS: Ninety-six patients with a mean age of 51.2 y (range: 11-77 y) were included. The three-step algorithm involved sequential evaluation of the defect location, vascular condition of potential flaps and the size of the defect. Patients were followed up for 6 mo to 2 y. The flap survival rate was 100%, with no severe complications observed. The mean Lower Extremity Functional Scale score was 65.6 (range: 46-75). Overall, 85.4% of patients were satisfied with the outcomes.
CONCLUSIONS: The three-step algorithm for axial pattern flap selection-based on defect location and size, and vascular condition of potential flaps-can achieve satisfactory long-term outcomes and serves as a practical and straightforward method in clinical practice.
METHODS: The medical records of patients with deep lower extremity defects repaired using axial pattern flaps between January 2007 and December 2023 in our department were retrospectively reviewed. A three-step algorithm for axial pattern flap selection was formulated. Outcomes were evaluated based on flap survival rate, functional recovery of the affected limb, complications, and patient satisfaction.
RESULTS: Ninety-six patients with a mean age of 51.2 y (range: 11-77 y) were included. The three-step algorithm involved sequential evaluation of the defect location, vascular condition of potential flaps and the size of the defect. Patients were followed up for 6 mo to 2 y. The flap survival rate was 100%, with no severe complications observed. The mean Lower Extremity Functional Scale score was 65.6 (range: 46-75). Overall, 85.4% of patients were satisfied with the outcomes.
CONCLUSIONS: The three-step algorithm for axial pattern flap selection-based on defect location and size, and vascular condition of potential flaps-can achieve satisfactory long-term outcomes and serves as a practical and straightforward method in clinical practice.