腓动脉和胫后动脉穿支筋膜皮瓣修复足部软组织缺损的效果

Clinical efficacy of repairing foot defects using peroneal artery and posterior tibial artery perforator fascial flaps

目的探讨腓动脉和胫后动脉穿支筋膜皮瓣修复足部软组织缺损的效果。方法对26例足部软组织缺损患者,分别采用胫后动脉和腓动脉穿支筋膜皮瓣修复。创面面积4 cm×5 cm~12 cm×15 cm。其中,腓动脉穿支筋膜皮瓣修复15例,胫后动脉穿支筋膜皮瓣修复11例,皮瓣大小6 cm×7 cm~15 cm×18 cm。结果术后皮瓣均成活良好,供区愈合。随访0.5~2年,足部功能良好,皮瓣外形无臃肿。结论早期积极应用腓动脉和胫后动脉穿支筋膜皮瓣修复足部软组织缺损,可使其恢复良好功能与外观。

Objective To investigate the clinical effect of peroneal artery and poster-or tibial artery perforator fascial flaps used for repairing foot defects.Methods Twenty-six cases of foot defects were treated with peroneal artery or posterior tibial artery perforator fascial flaps.The wound areas ranged from 4 cm×5 cm to 12 cm×15 cm after debridement.Fifteen of these wounds were repaired with peroneal artery perforator fascial flaps,and the rest were repaired with posterior tibial artery perforator fascial flaps.The areas of fascial flaps ranged from 6 cm×7 cm to 15 cm×18 cm.Results All the flaps survived and the wounds healed by first intention.The functions of the feet proved satisfactory after follow-up of 6 months to two years,and the flaps were working well.Conclusions The appearance and function of feet with soft tissue defects can be restored with peroneal artery and posterior tibial artery perforator fascial flaps in the early stage of the disease.