[Vacuum sealing drainage and free coupling chain-link posterior tibial artery flap in the reconstruction of degloving injury of propodium].
OBJECTIVE
To present the methods of vacuum sealing drainage and free coupling chain-link flap of posterior tibial artery flap and medial plantar flap in the reconstruction of degloving injury of propodium.


METHODS
From Oct. 2008 to Dec. 2011 five cases with degloving injury of propodium underwent debridement and vacuum sealing drainage on the first stage. Free chain-link flap of posterior tibial artery flap and medial plantar flap were applied to close the wound at the secondary stage. The nerve was included in the coupling flaps. The size of posterior tibial artery flap ranged from 14 cm x 10 cm to 11 cm x 8 cm,and the size of medial plantar flap ranged from 12 cm x 8 cm to 8 cm x 6 cm.


RESULTS
All flaps were survived with no vascular crisis. The flap sensation recovered to S3-S3 during the follow-up period of 6-21 months. The texture and appearance of flaps were satisfied. The plantar had not ulcer and corpus callosum.


CONCLUSIONS
Vacuum sealing drainage and free chain-link flap of posterior tibial artery flap and medial plantar flap with nerve are the ideal methods for the reconstruction of degloving injury of propodium.
Department of Hand Surgery, Ningbo Mingzhou Hospital, Ningbo 315100, China.
Wei-Kai
WK
Zhang
Wei-kai
WK
Zhang
Hai-Bing
HB
Wang
Gen-Lian
GL
Mao
Jian
J
Li
D000328:Adult; D004322:Drainage / Q000379:methods*; D005260:Female; D018409:Foot Injuries / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery*; D016909:Tibial Arteries / Q000637:transplantation; D014618:Vacuum; D055815:Young Adult