The medial supra-malleolus perforator flap for the clinical treatment of diabetic foot ulcers
YANG Ya-dong, ZHOU Juan, TANG Wen， ZHANG Fei, WEI Xiao-jun
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (4) : 441-444.
The medial supra-malleolus perforator flap for the clinical treatment of diabetic foot ulcers
Objective To explore the clinical application of the supra-malleolus perforator flap for repair of diabetic foot ulcers．Methods From March 2012 to March 2015. There were 38 feet in 32 patients developed diabetic foot ulcers with at least wagner II grade. The first medical treatment was to control blood glucose, then the supra-malleolus perforator flap was adopted to repair diabetic foot ulcers．Results The flaps survived totally in 38 feet，and the distal partial necrosis and secondary free-skin grafting were further conducted in 2 cases. Thirty-two cases were followed-up for 2 to 18 months，the circulation，color and texture of the flaps were excellent．The appearance and function of ankle joints were good．Conclusion The supra-malleolus perforator flap has sufficient blood supply and a high survival rate；It is convenient in design，dissection and without sacrifice of major arteries. So，it is an effective method to repair diabetic foot ulcers. This method is effective in improving the quality of life of patients.
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