足底深支或（和）第一跖背动脉逆行足背岛状皮瓣的临床应用

The clinic application of the bust deep artery and （or） the first dorsal metatarsal artery with reversed dorsalis pedis flap

目的探索足部远端软组织缺损修复的较佳方法。方法采用足底深支或（和）第1跖背动脉逆行足背岛状皮瓣对6例足部远端软组织缺损创面进行修复。结果6例患者均一次性修复，软组织缺损最大面积8cm×6cm，术后随访1～4年，足部功能与外观均较满意。结论足底深支或（和）第1跖背动脉逆行足背岛状皮瓣血管解剖比较恒定，操作简单，是修复足远端软组织缺损的较好方法。

Objective To explore the better method of repairing the soft tissue defecet of the distal foot. Methods The soft tissue defect in the distal foot of six patients were repaired by the distally based dorsum pedis island flap pedicled with the bust deep artery and（or） the first dorsal metatarsal artery. Results Six patients were repaired in one stage, the biggest defect was 8 cm×6 cm, all patients were followed-up 1 to 4 years, the function of foot was evidently improved, the patients were all satisfied with the operative results. Conclusions The bust deep artery and（or） the first dorsal metatarsal artery, with reliable blood supply, were easily dissected and with good texture. So far this kind of flap is a good choice in repairing the defects of the soft tissue in the distal foot.