Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (4): 371-.

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 Application of anterograde and reverse dorsalis pedis skin flap for repairing defects in the lower leg and foot

  

  • Online:2023-08-01 Published:2023-09-06

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Abstract:

Objective　To explore the application of anterograde and reverse dorsalis pedis skin flap in the repair of the de
fects in the lower leg and foot. Methods　From Jan. 2018 to Dec. 2021, 14 cases of dorsalis pedis flap were used to repair the
defects in the lower leg and foot, including 9 cases of anterograde dorsalis pedis skin flap and 5 cases of reverse dorsalis pedis
skin flap. The donor site was repaired with skin graft directly or covered with artificial dermis followed by skin graft 2-3 weeks
later. Results　All flaps survived well with primary healing. Most of skin grafts survived and the residual wound healed with
dressing change. In the follow-up period, the appearance of the flap was satisfactory. The appearance of donor sites repaired
with artificial dermis and secondary skin graft were better than that repaired by skin graft only. Foot function recovered well.
Conclusion　Dorsalis pedis flap is a reliable choice for repairing defects in the lower leg and foot. The application of artificial
dermis before skin graft can obviously increase the survival rate and improve the long-term appearance of donor site.

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