足及小腿下1/3软组织缺损的修复

Repair of Soft Tissue Defects of Foot and the Lower One Third of the Leg.

总结近八年共22例足及小腿下1/3软组织缺损的修复经验,分析了游离植皮、局部皮瓣、小腿交叉皮瓣、游离皮瓣、小腿逆行岛状皮瓣等五种修复方法的优缺点,提出选择依据;着重介绍了小腿内侧逆行岛状皮瓣的手术要点。

In this paper, the etiological analysis of 22 patients admitted from 1981 to 1988 with soft tissue defect in lower 1/3 of leg and the foot was summarised. Five kinds of operative procedures such as free skin grafting, localized flap, calf cross flap, free flap and reversed calf tibial island flap were discussed in respect to their merits or defects. The authors suggested that the repair of soft tissue defect in foot and the lower one third of leg must be individualized according to the degree and size of the soft tissue defect as well as the physical condition of the patients. Three representative cases and their surgical procedures were discribed in detail.