Clinical application of lateral vascular chain of foot in the prevention of cutaneous necrosis in lateral L-shaped incision of calcaneus

GAO Xu-bin; CHI Zheng-lin; GUAN Jian-zhong; WU Min

doi:10.13898/j.cnki.issn.1000-2200.2019.02.005

GAO Xu-bin, CHI Zheng-lin, GUAN Jian-zhong, WU Min. Clinical application of lateral vascular chain of foot in the prevention of cutaneous necrosis in lateral L-shaped incision of calcaneus[J]. Journal of Bengbu Medical University, 2019, 44(2): 158-159, 163. DOI: 10.13898/j.cnki.issn.1000-2200.2019.02.005

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Clinical application of lateral vascular chain of foot in the prevention of cutaneous necrosis in lateral L-shaped incision of calcaneus

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ObjectiveTo explore the relationship between the blood supply of the lateral L-shaped incision flap of calcaneus and blood vessel chain, and probe the safe operative incision.
MethodsFive cadaver samples were dissected to understand the blood vessel chain of L-shaped incision flap.According to the autopsy results, 10 cases with calcaneus fractures were treated with enlarging lateral L-shaped incision of calcaneal combined with internal fixation of bone plate, and the incision healing of patients was observed.
ResultsThe lateral blood vessel chain formed by peroneal and anterior tibial arteries was the main source of blood supply of L-shaped incision flap.The survival of enlarging lateral L-shaped incision of calcaneus was good in all cases, and no necrosis and infection were found.
ConclusionsProtecting the lateral vessel chain of foot can avoid the damage of blood supply of L-shaped incision flap, and reduce the poor healing of lateral L-shaped incision of calcaneal.

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Clinical application of lateral vascular chain of foot in the prevention of cutaneous necrosis in lateral L-shaped incision of calcaneus

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