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Repair of dorsalis pedis tendon and skin defect with anterolateral femoral perforator flap combined with fascia lata |
YIN Gang, ZHU Xiaodong, ZHAO Yongjie, FU Bingjin* |
Department of Foot and Ankle Surgery,Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China |
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Abstract Objective To explore the clinical effect of anterolateral femoral perforator flap combined with fascia lata in repairing the tendon and skin defect of dorsum pedis muscle.Methods The clinical data of 12 patients with dorsalis pedis tendon and skin defect in our hospital from January 2014 to March 2018 were analyzed retrospectively.The tendon defect was repaired with fascia lata in 12 patients,and the anterolateral femoral perforator flap was used to cover the wound.Results All the 12 flaps survived.The patients were followed up for 6 to 24 months with an average of 10 months.The shape of flaps and shoes'wearing were satisfactory.The sensory function of the flap recovered well,and the distance perception was 10-15 mm at two points.Conclusion The anterolateral femoral perforator flap combined with fascia lata is a reliable method for repairing the tendon and skin defect of the dorsum pedis with short course,less trauma to the donor site,satisfactory appearance and function.
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Received: 18 February 2020
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