Clinical Research
Induced membrane technique combined with anteriolateral thigh flap transfer for repair of complex tissue de- fect of the lower extremity
Yunsheng Teng, Zhong Liu, Yalong Yang, Yongming Guo, Meng Wu, Zhao Zhang, Bin Wang
Published 2018-02-25
Cite as Chin J Microsurg, 2018, 41(1): 14-17. DOI: 10.3760/cma.j.issn.1001-2036.2018.01.004
Abstract
ObjectiveTo explore the clinical application and effect of induced membrane technique com- bined with anteriolateral thigh (ALT) flap transfer for repair of complex tissue defect of the lower extremity.
MethodsFrom June, 2011 to June, 2014, induced membrane technique combined with ALT flap transfer were applied to repair complex tissue defect of the lower extremity in 12 cases. Of the 12 cases, there were 11 males and one female (their ages ranged from 18 to 45 years, 35 years on average) . One caused by road accident, 4 cases were caused by crush injury, 7 cases were caused by squeeze injury. First stage, the soft tissue defect were repaired by ALT flap transfer, the bone defect were filled with antibiotic cement after debridement and fixed with external or internal fixation. The area of the ALT flap ranged from 9.0 cm×15.0 cm to 15.0 cm×20.0 cm. The length of bone defect ranged from 3.0 cm to 14.0 cm, one of them was muscucaneous flap. Second stage, bone defect were filled with cancellous bone following cement removal in 6 to 12 weeks, 8 weeks on average.
ResultsAll cases were successfully repaired. Twelve cases were followed up. A mean follow- up was 20 months. All flaps survived, 11 cases were healed in first stage. One case were healed in second stage, healing time ranged from 12 to 18 days; bone healing time ranged from 6 to 9 months, 7 months on average. The functions of supplied regions were not found malfunctional.
ConclusionInduced membrane technique combined with anteriolateral thigh flap transfer reduce patient treatment time, improve the ability of resis- tance to infection of bone transfer, is an optimal method to repair the complex tissue defect of the lower extremity.
Key words:
Anteriolateral thigh flap; Complex tissue defect; Leg; Induced membrane technique
Contributor Information
Yunsheng Teng
Department of Traumatic Orthopaedic, Xi’an 521 Hospital, Xi’an, Shaanxi 710065, China
Zhong Liu
Yalong Yang
Yongming Guo
Meng Wu
Zhao Zhang
Bin Wang