Effectiveness of medial ankle branches propeller “Tennis racket-like” flap in repair of heel-ankle tissue defects_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHENG Ding ,  CUI Shuying , ZHANG Chengshu , LI Yanling , LI Heng , WANG Xiangling , WANG Jun , ZHENG Le

Department of Burns and Plastic Surgery, Pingdingshan Traditional Pingmei Shenma Medical Hospital, Pingdingshan Henan, 467000, P.R.China;

Corresponding?author：

CUI Shuying, Email: yuxiangchengding@126.com

Keywords：

Medial ankle branches flap; propeller flap; heel-ankle tissue defect

DOI：

10.7507/1002-1892.201804030

Video：

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Objective To investigate effectiveness of the medial ankle branches propeller " Tennis racket-like” flap in repair of heel-ankle tissue defect. Methods Between June 2011 and June 2016, 50 patients with heel-ankle tissue defects were treated. There were 40 males and 10 females, with a median age of 35.6 years (range, 6–58 years). The defects were caused by trauma in 44 cases, scar deformity after trauma in 2 cases, chronic ulcer in 2 cases, and squamous cell carcinoma in 2 cases. The defects located at heel in 20 cases, ankle in 15 cases, and heel-ankle in 15 cases. The size of heel-ankle tissue defect ranged from 3.5 cm×2.0 cm to 13.0×10.0 cm. The course of disease ranged from 3 hours to 2 months (mean, 28 days). All wounds were repaired by the medial ankle branches propeller " Tennis racket-like” flap in a size of 3.8 cm×2.2 cm–13.4 cm×10.3 cm. The donor site was directly sutured in 5 cases or repaired by skin grafting in 45 cases. Results All flaps survived and wounds healed by first intention. Partial necrosis of skin grafting occurred in 1 case, and the wound recovered by change dressing. The other skin grafting survived and wounds healed by first intention. Forty-eight patients were followed up 12 months after operation. The appearance, sensory, and function of repaired heel-ankle flaps were satisfactory. Conclusion For heel-ankle tissue defect repair, the medial ankle branches propeller " Tennis racket-like” flap has advantages of the high survival rate, reliable blood supply, and sensory recovery.

Citation： CHENG Ding, CUI Shuying, ZHANG Chengshu, LI Yanling, LI Heng, WANG Xiangling, WANG Jun, ZHENG Le. Effectiveness of medial ankle branches propeller “Tennis racket-like” flap in repair of heel-ankle tissue defects. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(11): 1450-1453. doi: 10.7507/1002-1892.201804030 Copy

1.	Song D, Deng X, Chen Y, et al. Thinned chimeric radial collateral artery perforator flap in complex distal thumb reconstruction. Arch Orthop Truama Surg, 2015, 135(11): 1623-1631.
2.	張世民, 王欣, 唐茂林, 等. 穿支皮瓣的爭論與當前共識. 中華顯微外科雜志, 2014, 37(1): 3-4.
3.	Yücel A, Senyuva C, Aydin Y, et al. Soft-tissue reconstruction of sole and heel defects with free tissue transfers. Ann Plast Surg, 2000, 44(3): 259-268.
4.	余道江, 趙天蘭, 徐又佳, 等. 應用耳后窄蒂皮下蒂皮瓣修復耳廓內軟組織缺損. 中國修復重建外科雜志, 2012, 26(6): 721-723.
5.	余道江, 趙天蘭, 徐又佳, 等. 負壓封閉引流技術在狹長窄蒂皮瓣中的應用. 中華整形外科雜志, 2013, 29(1): 62-64.
6.	Zhao TL, Tang Y, Yu DJ, et al. The application of narrow pedicle flaps in repairing facial defects. J Plast Reconstr Aesthet Surg, 2011, 64(7): 970-972.
7.	Kim JT, Ng SW, Kim YH. Application of various compositions of thoracodorsal perforator flap for craniofacial contour deformities. J Plast Reconstr Aesthet Surg, 2011, 64(7): 902-910.
8.	伍麗君, 趙天蘭, 余道江, 等. 缺氧缺血型狹長窄蒂皮瓣成活過程中 SDF-1 表達的實驗研究. 中華整形外科雜志, 2012, 28(3): 199-202.
9.	趙天蘭, 余道江, 謝曉明, 等. 狹長窄蒂皮瓣在面額部皮膚癌治療中的應用. 中華整形外科雜志, 2012, 28(3): 181-184.
10.	魏在榮, 王玉明, 王達利, 等. 脛后動脈內踝上肌間隙支逆行島狀皮瓣的解剖觀察及臨床應用. 中華整形外科雜志, 2007, 23(4): 293-294.
11.	王成琪. 王成琪顯微外科學. 濟南: 山東科學技術出版社, 2009: 255-256.
12.	黃繼峰, 王增濤, 郭德亮, 等. 脛后動脈皮支筋膜皮瓣的解剖及臨床應用. 中國修復重建外科雜志, 2000, 14(4): 217-219.
13.	鐘世鎮, 徐達傳, 丁自海. 顯微外科臨床解剖學. 山東: 山東科學技術出版社, 2000: 102.
14.	彭智, 賈振華, 黃海華, 等. 應用小腿內側逆行帶蒂皮瓣修復足底皮膚缺損. 中華顯微外科雜志, 2011, 34(1): 31-33.
15.	林松慶, 林鳳英, 張發惠. 內踝前穿支蒂隱神經營養血管皮瓣的臨床應用. 中華顯微外科雜志, 2010, 33(2): 112-114.
16.	芮永軍, 張雁, 楊紅, 等. 術前不同定位方法在股前外側穿支皮瓣應用的對比分析. 中華顯微外科雜志, 2015, 38(1): 33-37.
17.	侯春林, 顧玉東. 皮瓣外科學. 上海: 上海科學技術出版社, 2006: 647-648.

1. Song D, Deng X, Chen Y, et al. Thinned chimeric radial collateral artery perforator flap in complex distal thumb reconstruction. Arch Orthop Truama Surg, 2015, 135(11): 1623-1631.
2. 張世民, 王欣, 唐茂林, 等. 穿支皮瓣的爭論與當前共識. 中華顯微外科雜志, 2014, 37(1): 3-4.
3. Yücel A, Senyuva C, Aydin Y, et al. Soft-tissue reconstruction of sole and heel defects with free tissue transfers. Ann Plast Surg, 2000, 44(3): 259-268.
4. 余道江, 趙天蘭, 徐又佳, 等. 應用耳后窄蒂皮下蒂皮瓣修復耳廓內軟組織缺損. 中國修復重建外科雜志, 2012, 26(6): 721-723.
5. 余道江, 趙天蘭, 徐又佳, 等. 負壓封閉引流技術在狹長窄蒂皮瓣中的應用. 中華整形外科雜志, 2013, 29(1): 62-64.
6. Zhao TL, Tang Y, Yu DJ, et al. The application of narrow pedicle flaps in repairing facial defects. J Plast Reconstr Aesthet Surg, 2011, 64(7): 970-972.
7. Kim JT, Ng SW, Kim YH. Application of various compositions of thoracodorsal perforator flap for craniofacial contour deformities. J Plast Reconstr Aesthet Surg, 2011, 64(7): 902-910.
8. 伍麗君, 趙天蘭, 余道江, 等. 缺氧缺血型狹長窄蒂皮瓣成活過程中 SDF-1 表達的實驗研究. 中華整形外科雜志, 2012, 28(3): 199-202.
9. 趙天蘭, 余道江, 謝曉明, 等. 狹長窄蒂皮瓣在面額部皮膚癌治療中的應用. 中華整形外科雜志, 2012, 28(3): 181-184.
10. 魏在榮, 王玉明, 王達利, 等. 脛后動脈內踝上肌間隙支逆行島狀皮瓣的解剖觀察及臨床應用. 中華整形外科雜志, 2007, 23(4): 293-294.
11. 王成琪. 王成琪顯微外科學. 濟南: 山東科學技術出版社, 2009: 255-256.
12. 黃繼峰, 王增濤, 郭德亮, 等. 脛后動脈皮支筋膜皮瓣的解剖及臨床應用. 中國修復重建外科雜志, 2000, 14(4): 217-219.
13. 鐘世鎮, 徐達傳, 丁自海. 顯微外科臨床解剖學. 山東: 山東科學技術出版社, 2000: 102.
14. 彭智, 賈振華, 黃海華, 等. 應用小腿內側逆行帶蒂皮瓣修復足底皮膚缺損. 中華顯微外科雜志, 2011, 34(1): 31-33.
15. 林松慶, 林鳳英, 張發惠. 內踝前穿支蒂隱神經營養血管皮瓣的臨床應用. 中華顯微外科雜志, 2010, 33(2): 112-114.
16. 芮永軍, 張雁, 楊紅, 等. 術前不同定位方法在股前外側穿支皮瓣應用的對比分析. 中華顯微外科雜志, 2015, 38(1): 33-37.
17. 侯春林, 顧玉東. 皮瓣外科學. 上海: 上海科學技術出版社, 2006: 647-648.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of medial ankle branches propeller “Tennis racket-like” flap in repair of heel-ankle tissue defects

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