[Tibial island flap with intermuscular vessels in resurfacing the defect in tibial or ankle region].
Since June 1985, 13 extensive defects over lower tibial and the ankle have been covered with the tibial island flaps with intermuscular space vessels. Ten of the flaps survived completely. Partial necrosis of the flaps was found in 3 cases which healed spontaneously without further surgical intervention. The area of the flaps were from 42 to 200cm2, averaged 146cm2. Their rotation angles were from 90 to 180 degrees, averaged 128 degrees. The pedicle of the flap was the intermuscular cutaneous branches from the posterior tibial vessels. The procedure did no harm to the main trunk of the posterior tibial vessels, therefore, did not affect the peripheral circulation of the leg. The procedure is easy, practical and safe.
Li
Z T
ZT
Department of Orthopaedic Surgery, Third Teaching Hospital, Norman Bethune University of Medical Sciences.
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps / Q000379:methods