逆行足背复合组织瓣修复难治性趾远端创面

Distally based dorsalis pedis composite flap for the refractory defects of the distal big toe

目的：探讨一种能修复难治性足趾远端创面的新术式.方法：采用以第1跖背动脉为蒂的逆行足背复合组织瓣修复趾远端软组织缺损创面9例,切取皮瓣面积最大为7cm×5cm,最小为5cm×4cm.结果：术后9例皮瓣全部成活.随访3～11个月,皮瓣恢复部分感觉,质地良好,外形满意.结论：以第1跖背动脉为蒂的逆行足背复合组织瓣,血运可靠,血管解剖比较恒定、手术操作简单安全,是修复趾创面的可取方法.

Objective： To study a new method to reconstruct the refractory defects of the distal big toes. Methods： 9 cases with refractory soft tissue defects of the dorsalis big ＇oes were treated with distally based dorsalis pedis composite flaps ranged from 5cm×4cm to 7cm×5cm in size. Results： The patients were followed up from 3 to 11 months, all 9 flaps survived completely, which also provided fine texture,good contour and partial sensory function. Conclusion：The distally based dorsalis pedis composited flaps possess stable vascular pedicle, good blood supply and easy manipulation, that is an desirable for repairing the defects of dorsal big toe.