[Evaluation and surgical treatment for chronic wound of leg and foot].
OBJECTIVE
To investigate the optimal operation method for the management of various chronic wounds in legs and feet.


METHODS
Fifty-one chronic wounds were evaluated according to infection, inflammatory response, and distribution in different areas of the leg and foot. Preoperative treatment was given accordingly, then transposition of skin flap, skin grafting, or amputation was performed. The healing rate after single session operation and average hospitalization were statistically analyzed.


RESULTS
The wound healing rate after single session operation was 86. 3% , the average hospital stay was (17. 8 +/- 2. 1) days, and the appearance and function of the leg and foot after operation was satisfactory.


CONCLUSIONS
The appropriate preoperative treatment and operation method conforming to the wound location and evaluation are of vital importance in the management of chronic wounds in the leg and foot. Operation is one of the most effective ways to repair chronic wounds in the leg and foot, and it can shorten the wound healing process and restore the function.
Yao
Qing-jun
QJ
Centre of Burns , Xijing Hospital, the Fourth Military Medical University , Xi'an 710032 , PR China.
Hu
Da-hai
DH
Dong
Mao-long
ML
Xu
Ming-da
MD
Tao
Ke
K
Wang
Hong-tao
HT
Xie
Song-tao
ST
Zhou
Qin
Q
Chen
Bi
B
D000328:Adult; D002908:Chronic Disease; D016523:Foot Ulcer / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007871:Leg Ulcer / Q000473:pathology* / Q000601:surgery*; D008136:Longevity; D008297:Male; D013524:Surgical Flaps; D014945:Wound Healing