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.
The Saphenous neurocutaneous vascular flap in the clinical application of diabetic foot ulcers
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.
Saphenous neurocutaneous vascular flap / Diabetic foot / Ulcer / Microsurgery
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