Effects of pedicled flap combined with membrane induction technique in repairing foot and ankle wounds in diabetic patients

• Published in: Zhonghua shao shang yu chuang mian xiu fu za zhi Vol. 39; no. 4; p. 325
• Main Authors: Guo, X F, Deng, X X, Huang, Z H, Xue, M Y, Bu, F Y
• Format: Journal Article
• Language: Chinese
• Published: China 20-04-2023
• Subjects: Ankle - surgery; Ankle Joint - surgery; Cicatrix - surgery; Diabetes Mellitus; Diabetic Foot - surgery; Female; Humans; Lower Extremity; Male; Perforator Flap - blood supply; Plastic Surgery Procedures; Skin Transplantation; Soft Tissue Injuries - surgery; Treatment Outcome
• ISSN: 2097-1109

To explore the effects of pedicled flap combined with membrane induction technique in repairing foot and ankle wounds in diabetic patients.
A retrospective observational study was conducted. From March 2019 to July 2021, 12 patients with diabetic foot and ankle wounds who met the inclusion criteria were admitted to Wuxi Ninth People's Hospital, including 7 males and 5 females, aged 20 to 92 years. The wound area before debridement was 4.0 cm×2.5 cm to 16.0 cm×12.5 cm. The patients underwent debridement+antibiotic cement tamponade in stage Ⅰ; according to the wound site, peroneal artery perforator flap or posterior tibial artery perforator flap was chosen to repair the wound in stage Ⅱ, with the area of the resected flap ranging from 4.5 cm×3.0 cm to 18.5 cm×14.0 cm. The donor site was directly closed in 4 patients or covered by full-thickness inguinal skin graft in 8 patients. After the operation of stage Ⅱ, the survival of flap and skin graft, the scar in donor and recipient sites of flap, the appearance of