逆行足内侧隐神经营养血管皮瓣修复足前部皮肤缺损

Repair of skin defects at forepart of feet with reverse saphenous nerve neurocutaneous flaps

目的 探讨逆行足内侧隐神经营养血管皮瓣修复足前部皮肤缺损的方法。方法2004年1月至2008年10月，采用逆行足内侧隐神经营养血管皮瓣修复足前部软组织缺损15例，皮瓣最大面积8cm×5cm，最小3．5cm×3．0cm。供区移植皮片覆盖。结果术后所有皮瓣全部成活，10例获随访1～9个月，皮瓣色泽、质地、外形良好。患足行走正常，皮瓣及供区无溃疡发生。结论应用逆行足内侧隐神经营养血管皮瓣修复足前部皮肤软组织缺损，血供可靠，操作简单，创伤小。

Objective To investigate the effect of reverse saphenous nerve neurocutaneous flaps for skin defects at forepart of feet. Methods From January 2004 to October 2008,15 cases of skin defects at forepart of feet were repaired with reverse saphenous nerve neurocutaneous flaps. The flap size ranged from 3.5 cm ×3.0 cm to 8 cm× 5 cm. The wounds at donor site were closed with skin graft. Results All the flaps survived completely with no ulcer at the donor site. 10 patients were followed up for 1× 9 months. The skin color and texture were satisfactory. The patients could walk very well. Conclusions It is reliable to repair the skin defects at forepart of feet with reverse sapbenous nerve neurocutaneous flaps. It is easily performed with less morbidity.