Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects
BackgroundThis study aimed to evaluate the efficacy of superficial vein anastomoses spiral propeller flaps in improving venous return and reducing postoperative complications for elderly patients with foot and ankle soft tissue defects.MethodsA prospective study involving 15 elderly patients (65–90...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1629340/full |
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| author | Guangmou Chen Zhidong Liao Guoqiang Ruan Huirun Chen Guihe Lv Jiashang Cai Jin Chen Bo Liang |
| author_facet | Guangmou Chen Zhidong Liao Guoqiang Ruan Huirun Chen Guihe Lv Jiashang Cai Jin Chen Bo Liang |
| author_sort | Guangmou Chen |
| collection | DOAJ |
| description | BackgroundThis study aimed to evaluate the efficacy of superficial vein anastomoses spiral propeller flaps in improving venous return and reducing postoperative complications for elderly patients with foot and ankle soft tissue defects.MethodsA prospective study involving 15 elderly patients (65–90 years) underwent spiral propeller flap repair between 2020 and 2021. Flap perfusion, swelling, venous patency (Doppler ultrasound), and ankle function (AOFAS score) were assessed.ResultsAll flaps survived, with 2 cases of distal superficial necrosis healing after dressing. Postoperative swelling improved from Grade II (n = 10) to Grade I (n = 13) at 6 months. AOFAS scores showed 86.7% excellent/good outcomes.ConclusionVenous anastomosis in spiral propeller flaps significantly enhances flap survival and functional recovery in elderly patients with comorbidities. |
| format | Article |
| id | doaj-art-edeae1be552c47e69f6644630c8f7bba |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-edeae1be552c47e69f6644630c8f7bba2025-08-20T03:12:42ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-07-011210.3389/fsurg.2025.16293401629340Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defectsGuangmou Chen0Zhidong Liao1Guoqiang Ruan2Huirun Chen3Guihe Lv4Jiashang Cai5Jin Chen6Bo Liang7Department of Orthopaedics, Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Affiliated Hospital of Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, ChinaDepartment of Orthopaedics, Zhanjiang Central Hospital, Guangdong Medical University, Zhanjiang, ChinaBackgroundThis study aimed to evaluate the efficacy of superficial vein anastomoses spiral propeller flaps in improving venous return and reducing postoperative complications for elderly patients with foot and ankle soft tissue defects.MethodsA prospective study involving 15 elderly patients (65–90 years) underwent spiral propeller flap repair between 2020 and 2021. Flap perfusion, swelling, venous patency (Doppler ultrasound), and ankle function (AOFAS score) were assessed.ResultsAll flaps survived, with 2 cases of distal superficial necrosis healing after dressing. Postoperative swelling improved from Grade II (n = 10) to Grade I (n = 13) at 6 months. AOFAS scores showed 86.7% excellent/good outcomes.ConclusionVenous anastomosis in spiral propeller flaps significantly enhances flap survival and functional recovery in elderly patients with comorbidities.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1629340/fullspiral propeller flapsuperficial vein anastomosessoft tissue defectselderlyfoot and ankle |
| spellingShingle | Guangmou Chen Zhidong Liao Guoqiang Ruan Huirun Chen Guihe Lv Jiashang Cai Jin Chen Bo Liang Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects Frontiers in Surgery spiral propeller flap superficial vein anastomoses soft tissue defects elderly foot and ankle |
| title | Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects |
| title_full | Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects |
| title_fullStr | Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects |
| title_full_unstemmed | Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects |
| title_short | Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects |
| title_sort | therapeutic efficacy of superficial vein anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects |
| topic | spiral propeller flap superficial vein anastomoses soft tissue defects elderly foot and ankle |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1629340/full |
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