足底内侧岛状皮瓣逆行修复足跟萎缩性瘢痕

Contractive Sear of Heel is Repaired by Reverse Medial Side Island Falp of Sole

目的探讨足底内侧岛状皮瓣在修复烧伤后足跟萎缩性瘢痕中的应用。方法根据足跟萎缩性瘢痕切除后形成的组织缺损，设计以足底内侧动脉为血管蒂的足底内侧逆行岛状皮瓣，修复缺损。结果1995以来用足底内侧逆行岛状皮瓣修复足跟缺损创面8例，皮瓣切取最大面积为8cm×10cm，最小为3．5cm×6cm，皮瓣全部成活，随访6～12个月，其质地、耐磨性均佳，负重功能较好，局部感觉（痛、触、温度）部分恢复。结论设计以足底内侧动脉为血管蒂的足底内侧岛状皮瓣修复足跟软组织缺损，皮瓣血供可靠。组织结构相似，手术操作方便，是一种较理想的修复足跟软组织缺损的术式。

Objective To discuss medial side island falp of sole application in repairing the detects contractive scar of heel pastbum. Methods According to heel defects size of contractive scar tissue was excised, that reverse medial side island falp of sole was designed based on the medial plantar artery, the flap was used reparing the defect of the heel. With the follow up from 6 to 12 months quality and load function of the flap is well,it resists to grind and recover partial sensibility（sense of pain snd touch and temperature）.Rcsults Eight patients had been cured with this method since 1995, the largest excised flap area was 8cm× 10cm and the smallest excised flap area was 3.5cm×6cm, all flaps survived completely without any complication.Conclusion That designing a medial side island falp of sole based on its medial plantar artery was used repairing the defect of heel,the boold supply of the flap is reliable and tissue structure of the flap is similar to sole＇s, the operation is simple. The method is excellent and worth employing routinely.