The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers

YANG Ya-dong, ZHOU Juan, TANG Wen,ZHANG Fei, LIU Yang,WEI Xiao-jun

Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (2) : 226-230.

Chinese Journal of Clinical Anatomy ›› 2018, Vol. 36 ›› Issue (2) : 226-230. DOI: 10.13418/j.issn.1001-165x.2018.02.021

The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers

  • YANG Ya-dong1, ZHOU Juan2, TANG Wen1,ZHANG Fei1,  LIU Yang1,WEI Xiao-jun1
Author information +
History +

Abstract

Objective To investigate the clinical efficacy of the saphenous neurocutaneous vascular flap in diabetic foot ulcers. Methods From September 2010 to September 2016, 35 patients with 36 diabetic foot complicated with Wagner grade 2 or more foot ulcers were treated with saphenous neurocutaneous vascular flaps.  Results  The flaps had good blood supply, good wound healing and no necrosis. All patients were followed up for 3~12 months. The flaps were of good texture, good survival, tolerance to pressure, and most of the patients could recover the protective sensation. The foot could walk, and the function recovered satisfactorily. Conclusion The application of the saphenous neurocutaneous vascular flap for the diabetic foot ulcer has good clinical effecacy and can shorten the course of the disease. The operation, being simple and easy to popularize, can effectively improve the quality of life of patients and reduce the disability rate.

Key words

Saphenous neurocutaneous vascular flap /  Diabetic foot /  Ulcer /  Microsurgery

Cite this article

Download Citations
YANG Ya-dong, ZHOU Juan, TANG Wen,ZHANG Fei, LIU Yang,WEI Xiao-jun. The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers[J]. Chinese Journal of Clinical Anatomy. 2018, 36(2): 226-230 https://doi.org/10.13418/j.issn.1001-165x.2018.02.021

References

[1] Jiang Y, Ran X, Jia L, et al. Epidemiology of type 2 diabetic foot problems and predictive factors for amputation in China[J]. Int J Low Extrem Wounds, 2015,14(1): 19 -27.
[2]  冉兴无,杨兵全,许樟荣. 我国糖尿病足病的诊治现状与未来的研究方向[J]. 中华糖尿病杂志,2014,6(7): 437-439.
[3]   许蕾, 钱泓洁, 张杉杉, 等. 不同程度感染的糖尿病足溃疡患者临床特点及预后分析[J]. 中华内分泌代谢杂志, 2013, 29(2): 116-119.
[4] Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious diseases society of america clinical practice guideline for the diagnosis and treatment of diabetic foot infections[J]. Clin Infect Dis, 2012, 54(12): e132-e173.
[5] Bakker K,Apelqvist J,Schaper NC. Practical guidelines on the management and prevention of the diabetic foot 2011[J]. Diabetes Metab Res Rev,2012,28(Suppl 1):225-231.
[6] Sajid MT,Mustafa Qu,Shaheen N,et al. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers[J]. J Coll Physicians Surg Pak,2015, 25(11):789-793.
[7]  Ghanassia E, Villon L, Thuan Dit Dieudonné JF,et a1.Long term outcome and disability of diabetic patients hospitalized for diabetic foot ulcers: a 6.5 year follow-up study[J]. Diabetes Care, 2008,3l(7):1288-1292.
[8]  Wu SC, Driver VR, Wrobel JS,et a1. Foot ulcers in the diabetic patient,prevention and treatment[J]. Vasc Health Risk Manag,2007,3(1):65-76.
[9]  杜冬,庄永青,傅小宽,等.糖尿病足的显微外科治疗[J]. 中华显微外科杂志 2006, 29(6): 429-431.
[10] 钟世镇,徐永清,周长满.皮神经营养血管皮瓣解剖基础及命名[J].中华显微外科杂志,1999,22(1):37-39.
[11]Stevanovi? G,Djordjevi? B, Dakovi? M,et a1.Fasciocutaneous perforators of the lower leg-anatomic study and clinical significance[J].Vojnosanit Pregl,2010, 67(2): 136-144.
[12]杨亚东,周娟,唐文,等. 内踝上皮支皮瓣在糖尿病足部溃疡的临床应用[J].中国临床解剖学杂志,2017,35(4): 441-444.

Accesses

Citation

Detail

Sections
Recommended

/