ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ KHUYẾT HỔNG PHẦN MỀM CẲNG BÀN CHÂN BẰNG VẠT CƠ LƯNG RỘNG

Abstract

Background: The primary objective of reconstructing lower limb soft tissue defects is to achieve adequate wound coverage and restore limb function. However, the utilization of local flaps is often constrained in cases of extensive soft tissue loss. Severe lower limb soft tissue injuries may result in exposure of tendons, bones, joints, and neurovascular structures, necessitating early coverage to prevent complications. The latissimus dorsi musculocutaneous flap is reliable for reconstructing extensive soft tissue defects in the lower extremity. Objectives: Evaluation of leg and foot defect coverage results with latissimus dorsi muscle flap at Cho Ray Hospital in 2023. Materials and methods: A case series study including five patients who underwent latissimus dorsi musculocutaneous flap reconstruction for extensive lower leg and foot soft tissue defects at Cho Ray Hospital between May 2023 and December 2023. Results: Among the five cases, three involved foot defects and two involved lower leg defects. All patients achieved successful flap integration with satisfactory functional and aesthetic outcomes. One case experienced a first-degree burn in the postoperative period due to infrared heating exposure. Conclusion: The latissimus dorsi musculocutaneous flap serves as a valuable reconstructive option for extensive lower limb soft tissue defects, providing reliable coverage and favorable clinical outcomes.