扩张的交腿皮瓣修复足背皮肤缺损

The expanded cross-leg flap for repairing the soft tissue defects of the instep

目的探讨应用皮肤软组织扩张术与交腿皮瓣相结合,修复足背皮肤缺损骨外露的临床效果。方法共已采用扩张的交腿皮瓣修复对侧足背皮肤缺损骨外露10例。结果本方法对供皮瓣区及受皮瓣区均能得到良好的修复,供区不需移植皮片,修复后遗留的体表痕迹少,皮瓣较薄外形佳。结论应用扩张的交腿皮瓣为足背皮肤缺损骨外露提供一种简单易行、损伤小、皮瓣供受区外形均佳的修复方法。

Objective To explore the clinical application of the expanded cross-leg flap for repairing instep soft tissue defects with bone exposure. Methods The expanded cross-leg flap was used to repair instep defeets in 10 patients. After flap transferring the donor site was closed directly without skin grafting. Results Satisfactory results were achieved in all the cases. The flaps survived well. The donor site had less scar and kept good appearance. Conclusions The expanded cross-leg flap is a better choice for repairing the soft tissue defects of the instep. It is simple and easy with less trauma to the donor site. After the operation, both the recipient and the donor areas had good appearance.