Foot and ankle reconstruction using the lateral supramalleolar flap versus the anterolateral thigh flap in the elderly: A comparative study

被引:7
作者
Li, Peifeng [1 ,2 ,3 ]
Zhang, Huaibao [3 ]
Zhu, Junyi [3 ]
Qiu, Haisheng [3 ]
Ni, Xiao [3 ]
Yu, Fangzheng [3 ]
Xiao, Jian [1 ,2 ]
Wang, Jian [3 ]
Du, Shenghu [1 ,2 ,3 ]
机构
[1] Wenzhou Med Univ, Affiliated Hosp 1, Dept Hand Surg & Peripheral Neurosurg, Wenzhou 325000, Peoples R China
[2] Wenzhou Med Univ, Sch Pharmaceut Sci, Wenzhou 325000, Peoples R China
[3] Wenzhou Med Univ, Affiliated Hosp 1, Dept Hand Surg, Wenzhou, Peoples R China
关键词
anterolateral thigh flap; foot and ankle; lateral supramalleolar flap; soft-tissue defects; LONG-TERM; EXPERIENCE;
D O I
10.1111/iwj.13751
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The purpose of this study was to compare the reconstructive outcomes of soft-tissue defects around the foot and ankle with anterolateral thigh (ALT) flap or lateral supramalleolar (LSM) flap and attempt to provide an optimal strategy for elderly patients. A retrospective review of all continuous patients with foot and ankle reconstruction using different flaps from October of 2010 and October of 2020 was performed. Based on the flap types, the patients were divided into two groups: ALT flap group (n = 50) and LSM flap group (n = 46). Outcomes were assessed according to the flap survival rate, early complications, general complications, late complications, cosmetic appearance, functional outcomes and Vancouver Scar Scale (VSS). We found that there was no difference in average age, gender, aetiology, size of the defect, debridement times between the two groups; however, a significant difference in operation time, hospitalisation time and cost were noted between them. What's more, the early flap complications between them were not significantly different. The LSM flap group showed less general complications, less flap bulky and lower cosmetic appearance. Moreover, the functional evaluation and VSS seem similar (P > .05). Thus, The ALT flap and LSM flap are both flaps available for foot and ankle reconstruction in elderly patients. However, the LSM flap offers short operation time, short hospitalisation time, and less cost with a lower frequency of postoperative complications. Thus, we advocate the LSM flap for the reconstruction of moderate-size defects of the foot and ankle region in elderly patients.
引用
收藏
页码:1518 / 1527
页数:10
相关论文
共 50 条
  • [41] Urethra Reconstruction With a Prelaminated Pedicled Anterolateral Thigh Flap A Case Report
    Thione, Alessandro
    Cavadas, Pedro C.
    Carballeira, Alexo
    [J]. ANNALS OF PLASTIC SURGERY, 2014, 72 (06) : 695 - 697
  • [42] The expanding role of the anterolateral thigh free flap in head and neck reconstruction
    Park, Chan W.
    Miles, Brett A.
    [J]. CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2011, 19 (04) : 263 - 268
  • [43] The Role of the Fascia-Only Anterolateral Thigh Flap in Extremity Reconstruction
    Hassan, Bashar
    Fairchild, Berry
    Grant, Michael P.
    Lamaris, Gregory A.
    [J]. ANNALS OF PLASTIC SURGERY, 2024, 92 (04) : 412 - 417
  • [44] Use of Anterolateral Thigh Flap and Fibula Flap in Oncologic Maxillary Reconstruction An Algorithm Approach
    Chen, Szu-Han
    Kuo, Yao-Lung
    Chang, Tzu-Yen
    Lee, Yao-Chou
    [J]. ANNALS OF PLASTIC SURGERY, 2020, 84 : S17 - S25
  • [45] Pedicled Anterolateral Thigh Flap A Versatile Flap for Difficult Regional Soft Tissue Reconstruction
    Friji, M. T.
    Suri, Manav P.
    Shankhdhar, Vinay Kant
    Ahmad, Quazi G.
    Yadav, Prabha S.
    [J]. ANNALS OF PLASTIC SURGERY, 2010, 64 (04) : 458 - 461
  • [46] Reconstruction of a Forearm Radiation Ulcer Using an Anterolateral Thigh Flap: A Case Report
    Suzuki, Yoshinori
    Hasegawa, Kenjiro
    Ebisudani, Shogo
    [J]. JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY, 2023, 2 (01): : 29 - 33
  • [47] Fascia-Only Anterolateral Thigh Flap for Extremity Reconstruction
    Fox, Paige
    Endress, Ryan
    Sen, Subhro
    Chang, James
    [J]. ANNALS OF PLASTIC SURGERY, 2014, 72 : S9 - S13
  • [48] First web-space reconstruction by the anterolateral thigh flap
    Adani, R
    Tarallo, L
    Marcoccio, I
    Fregni, U
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2006, 31A (04): : 640 - 646
  • [49] Predictors affecting anterolateral thigh flap in reconstruction of upper extremity
    Li, Di
    Long, Feng
    Lei, Ming
    [J]. MEDICINE, 2019, 98 (46) : e17884
  • [50] The Anterolateral Thigh Flap for Achilles Tendon Reconstruction: Functional Outcomes
    Ehrl, Denis
    Heidekrueger, Paul I.
    Schmitt, Andreas
    Liska, Franz
    Ninkovic, Milomir
    Giunta, Riccardo
    Broer, P. Niclas
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2019, 143 (06) : 1772 - 1783