Jian Y, Wei Z R, Chen W, Zhang Y J, Tang M Y, Zhong Y X, Liu C X X
Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Apr 20;39(4):376-380. doi: 10.3760/cma.j.cn501225-20221216-00539.
Free flaps have been successfully used in the repair of diabetic foot ulcers (DFUs), which can reduce amputation rate, maintain normal gait of patients, and improve life quality of patients. However, there are still many challenges in the repair of DFUs with free flaps, and many problems need to be solved. This paper summarizes the selection of patients, preoperative cautions, types of flaps, methods of vascular anastomosis, clinical effects, and existing problems in using free skin flaps for repairing DFUs.
游离皮瓣已成功应用于糖尿病足溃疡(DFU)的修复,可降低截肢率,维持患者正常步态,并提高患者生活质量。然而,游离皮瓣修复DFU仍存在诸多挑战,还有许多问题有待解决。本文总结了应用游离皮瓣修复DFU时患者的选择、术前注意事项、皮瓣类型、血管吻合方法、临床效果及存在的问题。