Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (5): 440-.

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The application of pedicled vastus lateralis-myocutaneous flap in the repair of complex wounds in the lower limbs#br#

  

  • Online:2023-10-09 Published:2023-10-31

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Abstract:

Objective　To investigate the efficacy of pedicled vastus lateralis-myocutaneous flap in repairing complex
wounds of the lower limbs. Methods　From Jan. 2016 to Dec. 2021, pedicled vastus lateralis-myocutaneous flap were used to
repair complex wounds in the lower limbs in 9 cases, including 4 cases of anterograde flap and 5 cases of retrograde flap. The
wounds were caused by traffic accident in 4 cases, burn in 1 case and the excision of malignant tumor in 4 cases. The defect
ranged from 6.0 cm×4.0 cm to 20.0 cm×8.0 cm, and the harvested flaps ranged from 5.0 cm×5.0 cm to 23.0 cm×7.0 cm.
The donor sites were sutured directly or repaired by skin-grafting. Results　All the flaps survived well and both the donor and
recipient sites were primarily healed. After 3-12 months, the myocutaneous flap or muscle flap combined with skin-grafting had
good texture, and the recovery of function was good. Cases with direct suture in donor area had good appearance, but cases with
skin-grafting had poor appearance. Conclusion　The pedicled vastus lateralis-myocutaneous flap has large area, reliable blood
supply and can be transferred flexibly. This flap is a good choice for repairing complex wounds in the thigh and upper legs.

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