Effect of length-width ratio on partial necrosis in distally based sural neurofasciocutaneous flap: 157 cases

To explore the effect of length-width ratio (LWR)on partial necrosis in distally based sural neurofasciocutaneous flap. Clinical data and operative pictures of 157 distally based sural neurofasciocutaneous flaps were reviewed and analysed. LWR of the flaps ranged from 2.83:1 to 7.14:1. Based on the...

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Veröffentlicht in:Zhong nan da xue xue bao. Journal of Central South University. Yi xue ban 2010-07, Vol.35 (7), p.754-759
Hauptverfasser: Dong, Zhonggen, Wei, Jianwei, Liu, Lihong, Luo, Shunhong, He, Miao, Zhou, Zhengbing, Deng, Xiangwu, Yang, Yang
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container_issue 7
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container_title Zhong nan da xue xue bao. Journal of Central South University. Yi xue ban
container_volume 35
creator Dong, Zhonggen
Wei, Jianwei
Liu, Lihong
Luo, Shunhong
He, Miao
Zhou, Zhengbing
Deng, Xiangwu
Yang, Yang
description To explore the effect of length-width ratio (LWR)on partial necrosis in distally based sural neurofasciocutaneous flap. Clinical data and operative pictures of 157 distally based sural neurofasciocutaneous flaps were reviewed and analysed. LWR of the flaps ranged from 2.83:1 to 7.14:1. Based on the LWR of the flaps, the flaps were divided into 5 groups: Group A(LWR≤3:1), Group B(3:1
doi_str_mv 10.3969/j.issn.1672-7347.2010.07.018
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Clinical data and operative pictures of 157 distally based sural neurofasciocutaneous flaps were reviewed and analysed. LWR of the flaps ranged from 2.83:1 to 7.14:1. Based on the LWR of the flaps, the flaps were divided into 5 groups: Group A(LWR≤3:1), Group B(3:1&lt;LWR&lt;4:1), Group C(4:1≤LWR&lt;5:1), Group D(5:1≤LWR&lt;6:1) and Group E (LWR≥6:1). The flaps were harvested by antegrade-retrograde combined method. Of the 157 flaps, 125 survived uneventfully, 8 had distal epidermical necrosis, wound dehiscence occurred in 6 flaps, 18 flaps(11.5%) had distal partial necrosis. Partial necrosis occurred in none of the 6 flaps in Group A(0%), 4 of 26 flaps in Group B(12.5%), 2 of 56 flaps in Group C (3.6%), 8 of 50 flaps in Group D (16.0%), and 4 of 19 flaps in Group E(21.5%). There were no statistical differences in partial necrosis ratio between Group A and B, Group B and C, Group D and E(P&gt;0.05). 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Journal of Central South University. Yi xue ban</title><addtitle>Zhong Nan Da Xue Xue Bao Yi Xue Ban</addtitle><description>To explore the effect of length-width ratio (LWR)on partial necrosis in distally based sural neurofasciocutaneous flap. Clinical data and operative pictures of 157 distally based sural neurofasciocutaneous flaps were reviewed and analysed. LWR of the flaps ranged from 2.83:1 to 7.14:1. Based on the LWR of the flaps, the flaps were divided into 5 groups: Group A(LWR≤3:1), Group B(3:1&lt;LWR&lt;4:1), Group C(4:1≤LWR&lt;5:1), Group D(5:1≤LWR&lt;6:1) and Group E (LWR≥6:1). The flaps were harvested by antegrade-retrograde combined method. Of the 157 flaps, 125 survived uneventfully, 8 had distal epidermical necrosis, wound dehiscence occurred in 6 flaps, 18 flaps(11.5%) had distal partial necrosis. Partial necrosis occurred in none of the 6 flaps in Group A(0%), 4 of 26 flaps in Group B(12.5%), 2 of 56 flaps in Group C (3.6%), 8 of 50 flaps in Group D (16.0%), and 4 of 19 flaps in Group E(21.5%). There were no statistical differences in partial necrosis ratio between Group A and B, Group B and C, Group D and E(P&gt;0.05). 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Clinical data and operative pictures of 157 distally based sural neurofasciocutaneous flaps were reviewed and analysed. LWR of the flaps ranged from 2.83:1 to 7.14:1. Based on the LWR of the flaps, the flaps were divided into 5 groups: Group A(LWR≤3:1), Group B(3:1&lt;LWR&lt;4:1), Group C(4:1≤LWR&lt;5:1), Group D(5:1≤LWR&lt;6:1) and Group E (LWR≥6:1). The flaps were harvested by antegrade-retrograde combined method. Of the 157 flaps, 125 survived uneventfully, 8 had distal epidermical necrosis, wound dehiscence occurred in 6 flaps, 18 flaps(11.5%) had distal partial necrosis. Partial necrosis occurred in none of the 6 flaps in Group A(0%), 4 of 26 flaps in Group B(12.5%), 2 of 56 flaps in Group C (3.6%), 8 of 50 flaps in Group D (16.0%), and 4 of 19 flaps in Group E(21.5%). There were no statistical differences in partial necrosis ratio between Group A and B, Group B and C, Group D and E(P&gt;0.05). 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subjects Adolescent
Adult
Aged
Child
Child, Preschool
Female
Foot Injuries - surgery
Humans
Leg Injuries - surgery
Male
Middle Aged
Necrosis
Reconstructive Surgical Procedures - methods
Retrospective Studies
Skin Transplantation - methods
Soft Tissue Injuries - surgery
Surgical Flaps - blood supply
Surgical Flaps - innervation
Surgical Flaps - pathology
Young Adult
title Effect of length-width ratio on partial necrosis in distally based sural neurofasciocutaneous flap: 157 cases
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