Long-term sensation in the medial plantar flap: A two-centre study

被引：14

作者：

Trevatt, Alexander E. J. ^{[1
]}

Filobbos, George ^{[2
]}

ul Haq, Ata ^{[3
]}

Khan, Umraz ^{[2
]}

机构：

[1] North Middlesex Univ Hosp, London, England

[2] Frenchay Hosp, Bristol BS16 1LE, Avon, England

[3] Jinnah Hosp, Lahore, Pakistan

来源：

FOOT AND ANKLE SURGERY | 2014年 / 20卷 / 03期

关键词：

Medial plantar flap; Sensation; Two point discrimination; Lower limb reconstruction; HEEL DEFECTS; ISLAND FLAP; FASCIOCUTANEOUS ISLAND; 2-POINT DISCRIMINATION; POSTERIOR HEEL; FOOT; RECONSTRUCTION; ANKLE; COVERAGE; REPRODUCIBILITY;

D O I：

10.1016/j.fas.2014.03.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Reconstruction in the foot and ankle region is challenging. This study aimed to quantify objective sensation return when a sensate medial plantar flap is used for like-for-like reconstruction of foot and ankle defects. Methods: Two-point discrimination (2PD) was assessed in flap and normal tissue at a minimum of 1 year post-operatively. A paired T-test assessed for significance. Results: 8 patients were included. Mean 2PD in normal tissue and flap was 29 mm (SD: 11.9) and 33 mm (SD: 9.97) respectively with no statistically significant difference between the two (two-tailed p-value: 0.1898). Mean age was 53.2 years (range: 15-84). There was no statistically significant correlation between age and 2PD in flap tissue (r = 0.6, p = 0.15). Conclusions: This is the largest case series of its kind. Our results suggest that sensation in medial plantar flaps can return to near normal and demonstrate the important role the medial plantar flap plays in soft tissue reconstruction in this region. (c) 2014 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：166 / 169

页数：4

共 26 条

[1] Various applications of the medial plantar flap to cover the defects of the plantar foot, posterior heel, and ankle [J].