Email Alerts
RSS
Volume 39 Issue 9
Sep.  2023
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(9): 842-848
Yang CP,Tang LF,Liu ZJ,et al.Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities[J].Chin J Burns Wounds,2023,39(9):842-848.DOI: 10.3760/cma.j.cn501225-20220726-00310.
Citation: Yang CP,Tang LF,Liu ZJ,et al.Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities[J].Chin J Burns Wounds,2023,39(9):842-848.DOI: 10.3760/cma.j.cn501225-20220726-00310.
shu

Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities

doi: 10.3760/cma.j.cn501225-20220726-00310

  • Department of Hand Surgery, Suzhou Ruihua Orthopaedic Hospital, Suzhou 215104, China

Funds:

Jiangsu Young Medical Talents Project QNRC2016224

Suzhou Gusu Health Talents Plan Program 2020075

Key Technology Application Research of Suzhou Livelihood Science and Technology Project SS202092

Special Project on Diagnosis and Treatment Technology of Clinical Key Disease Species of Health Science and Education in Suzhou LCZX202026

Special Project of Suzhou Enterprise Engineering Technology Research Center SZS2019263

More Information
  • Corresponding author: Ju Jihui, Email: jjh2006@263.net
  • Received Date: 2022-07-26
    Abstract
  •   Objective   To investigate clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities.   Methods   A retrospective observational study was conducted. From October 2018 to June 2021, Suzhou Ruihua Orthopedic Hospital admitted 12 patients (11 males and 1 female, aged 24-64 years) who met the inclusion criteria, and did not have the lateral circumflex femoral artery during anterolateral thigh flap resection, or changed to medial femoral perforator as a source of blood supply due to small perforator to repair the wound with flap transplantation. The wounds were on the upper limbs in 7 cases and on the lower limbs in 5 cases. The wound area after debridement was 8.0 cm×5.0 cm-24.0 cm×6.5 cm, and the applied flap area was 9 cm×6 cm-25 cm×7 cm. During transplantation, the perforating branch or source artery of the flap was anastomosed end to end with the vascular pedicle of the recipient area. Subcutaneous beauty suture was performed on all the donor wounds. After operation, the survival of the flap and vascular crisis were observed; and the wound healing at the donor site was observed. During follow-up, the texture of the flap and complications at the donor site were observed. At the last follow-up, the effect of flap repair was evaluated by using the modified self-made comprehensive efficacy rating table.   Results   After operation, all the flaps of patients survived without vascular crisis; the wounds in the donor site healed smoothly. During follow-up of 6 to 26 months, the flaps had good texture; only linear scars remained in the donor area without scar contracture, pain or other discomfort. At the last follow-up, the total score of flap repair effect of 12 patients was 75-95, with an average of 87, of which 5 cases were rated as excellent, 6 cases as good, and 1 case as fair, and the proportion of excellent and good patients was 11/12.   Conclusions   The application of anterolateral thigh flap with blood supply from the medial femoral perforator to repair wounds on extremities is an alternative method for the vascular variations such as no descending branch, oblique branch, or small perforator of the lateral circumflex femoral artery during the resection of the anterolateral thigh flap. This operation has the advantages of simple operation, small trauma, and others, which effectively ensures the smooth operation.

     

    • FullText(HTML)
  • loading
    • References(32)
  • [1]
    唐举玉. 特殊形式穿支皮瓣及其衍生术式的分型与命名[J].中华显微外科杂志,2021,44(3):245-254. DOI: 10.3760/cma.j.cn441206-20210530-00193.
    [2]
    柳志锦, 巨积辉, 刘胜哲, 等. 股前外侧区双叶穿支皮瓣的血供方式及临床应用[J].中华骨科杂志,2021,41(4):211-218. DOI: 10.3760/cma.j.cn121113-20200415-00259.
    [3]
    唐茂林, 刘元波. 跨区供血轴型皮瓣的形态学研究进展[J].中华整形外科杂志,2020,36(9):961-969. DOI: 10.3760/cma.j.cn114453-20200805-00455.
    [4]
    柳志锦, 巨积辉, 刘胜哲, 等. 以筋膜蒂相连的单穿支双叶型股前外侧皮瓣修复四肢创面的临床研究[J].中国临床解剖学杂志,2021,39(5):593-597. DOI: 10.13418/j.issn.1001-165x.2021.05.017.
    [5]
    肖飞鹏, 柳志锦, 刘胜哲, 等. 综合评价量表在股前外侧皮瓣修复术后疗效评价中的应用[J].中国美容整形外科杂志,2021,32(6):348-351. DOI: 10.3969/j.issn.1673-7040.2021.06.010.
    [6]
    常树森, 金文虎, 魏在荣, 等. 股前外侧皮瓣术前设计优化及临床应用[J].中华显微外科杂志,2017,40(2):118-122. DOI: 10.3760/cma.j.issn.1001-2036.2017.02.004.
    [7]
    徐永清, 范新宇. 穿支皮瓣创面修复中存在的争议问题[J].中华创伤杂志,2021,37(9):769-772. DOI: 10.3760/cma.j.cn501098-20210520-00307.
    [8]
    芮永军. 股前外侧皮瓣在中国的研究进展[J].中华显微外科杂志,2020, 43(4):313-325.DOI: 10.3760/cma.j.cn441206-20200628-00277.
    [9]
    刘龙灿, 刘元波, 臧梦青, 等. 以股直肌支穿支为蒂的逆行股前内侧皮瓣临床应用研究[J].中国修复重建外科杂志,2016,30(12):1502-1506. DOI: 10.7507/1002-1892.20160311.
    [10]
    高秋芳, 张小锋, 张万锋, 等. 股内侧肌穿支皮瓣修复游离股前外侧穿支皮瓣供区继发创面的临床效果[J].中华烧伤杂志,2019,35(1):65-68. DOI: 10.3760/cma.j.issn.1009-2587.2019.01.012.
    [11]
    JaiswalD, GhalmeA, YadavP, et al. Free anteromedial thigh perforator flap: Complementing and completing the anterolateral thigh flap[J]. Indian J Plast Surg, 2017,50(1):16-20. DOI: 10.4103/ijps.IJPS_161_16.
    [12]
    LeeYJ, LeeYJ, OhDY, et al. Reconstruction of wide soft tissue defects with extended anterolateral thigh perforator flap turbocharged technique with anteromedial thigh perforator[J]. Microsurgery, 2020,40(4):440-446. DOI: 10.1002/micr.30549.
    [13]
    宋达疆, 李赞, 周晓, 等. 大面积股内侧穿支皮瓣移植重建乳房的临床效果[J].中华医学美学美容杂志,2021,27(1):29-33. DOI: 10.3760/cma.j.issn.1671-0290.2021.01.008.
    [14]
    CömertA, AltunS, UnlüRE, et al. Perforating arteries of the anteromedial aspect of the thigh: an anatomical study regarding anteromedial thigh flap[J]. Surg Radiol Anat, 2011,33(3):241-247. DOI: 10.1007/s00276-010-0738-x.
    [15]
    张凤玲, 魏在荣, 郭宇, 等. 游离股浅动脉股三角穿支皮瓣修复四肢皮肤软组织缺损的临床效果[J].中华烧伤杂志,2019,35(7):486-489. DOI: 10.3760/cma.j.issn.1009-2587.2019.07.002.
    [16]
    巨积辉, 周荣, 刘跃飞, 等. 超长股外侧区内增压型穿支皮瓣修复足踝部创面的临床效果[J].中华烧伤杂志,2019,35(7):495-500. DOI: 10.3760/cma.j.issn.1009-2587.2019.07.004.
    [17]
    HapugodaS, HsuCC, KwanGN, et al. Duplication of the superficial femoral artery: comprehensive review of imaging literature and insight into embryology[J]. Acta Radiol Open, 2016,5(7):2058460116659098. DOI: 10.1177/2058460116659098.
    [18]
    MojallalA, BoucherF, ShipkovH, et al. Superficial femoral artery perforator flap: anatomical study of a new flap and clinical cases[J]. Plast Reconstr Surg, 2014,133(4):934-944. DOI: 10.1097/PRS.0000000000000005.
    [19]
    巨积辉, 金光哲, 刘跃飞, 等. 小儿足跟部复合组织缺损的皮瓣修复[J].中华小儿外科杂志,2012,33(3):238-240. DOI: 10.3760/cma.j.issn.0253-3006.2012.03.021.
    [20]
    柳志锦, 巨积辉, 程俊楠, 等. 以旋股外侧动脉斜支为源动脉的股前外侧双叶穿支皮瓣修复四肢创面[J].中华显微外科杂志,2021,44(2):152-156. DOI: 10.3760/cma.j.cn441206-20210111-00012.
    [21]
    臧梦青, 朱珊, 陈博, 等. 旋股外侧动脉斜支在带蒂股前外侧皮瓣中的应用[J].中华整形外科杂志,2019,35(10):995-999. DOI: 10.3760/cma.j.issn.1009-4598.2019.10.009.
    [22]
    HsiehF, LeowO, CheongCF, et al. Musculoseptocutaneous perforator of anterolateral thigh flap: a clinical study[J]. Plast Reconstr Surg, 2021,147(1):103e-110e. DOI: 10.1097/PRS.0000000000007471.
    [23]
    唐林, 周鑫, 黄宇, 等. 组合股前外侧穿支皮瓣与不同皮瓣瓦合修复肢体大面积环形缺损[J].中国修复重建外科杂志,2021,35(12):1609-1614. DOI: 10.7507/1002-1892.202108002.
    [24]
    蔡飞宇,加莎热特·杰力勒, 刘凯, 等. 股前外侧游离皮瓣修复手部绞伤合并前臂主干血管损伤的疗效[J].中国修复重建外科杂志,2021,35(8):1033-1037. DOI: 10.7507/1002-1892.202103049.
    [25]
    CignaE, ChenHC, OzkanO, et al. The anteromedial thigh free flap anatomy: a clinical, anatomical, and cadaveric study[J]. Plast Reconstr Surg,2014, 133(2):420-429. DOI: 10.1097/01.prs.0000437258.85951.a1.
    [26]
    唐园园, 宋达疆, 毛煌兴, 等. 游离股前内侧嵌合穿支肌皮瓣在舌癌术后舌再造中的临床应用[J].中国耳鼻咽喉颅底外科杂志,2020,26(3):245-249. DOI: 10.11798/j.issn.1007-1520.202003004.
    [27]
    郑咏舰, 魏在荣, 李海, 等. 股前内侧穿支皮瓣在下肢软组织缺损修复中的应用[J].中国修复重建外科杂志,2019,33(12):1552-1555. DOI: 10.7507/1002-1892.201905019.
    [28]
    MohanAT, ZhuL, MorsyM, et al. Reappraisal of perforasomes of the superficial femoral, descending genicular, and saphenous arteries and clinical applications to locoregional reconstruction[J]. Plast Reconstr Surg, 2019,143(3):613e-627e. DOI: 10.1097/PRS.0000000000005395.
    [29]
    刘族安, 马亮华, 李汉华, 等. 罕见斜支型股前外侧游离皮瓣修复足部创面1例[J].中国临床解剖学杂志,2019,37(6):721-723. DOI: 10.13418/j.issn.1001-165x.2019.06.022.
    [30]
    唐举玉, 卿黎明, 吴攀峰, 等. 一种股前外侧穿支皮瓣血管切取的方法——逆行四面解剖法[J].中华显微外科杂志,2021,44(2):137-140. DOI: 10.3760/cma.j.cn441206-20200303-00121.
    [31]
    张春,陈土根,徐德洪,等.股前外侧皮瓣血管的变异与处理[J].中国临床解剖学杂志,1995(1):65-67.DOI: 10.13418/j.issn.1001-165x.1995.01.03.
    [32]
    吴攀峰, 唐举玉, 卿黎明, 等. 股前外侧穿支皮瓣组合移植修复上肢巨大面积皮肤软组织缺损[J].中华手外科杂志,2020,36(5):369-373. DOI: 10.3760/cma.j.cn311653-20191028-00297.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (2245) PDF downloads(18) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return