外踝上逆行岛状筋膜皮瓣修复足部深度烧伤

Repair of foot deep burn with a reverse lateral supramalleolar artery island fascio-cutaneous flap.

目的:介绍外踝上逆行岛状筋膜皮瓣修复足部严重电烧伤、热压伤的疗效。方法:自2001年以来,我科共利用外踝上逆行岛状筋膜皮瓣修复踝部电烧伤5例,足背热压伤4例,足跟部慢性溃疡3例。结果:12例皮瓣,10例全部成活,2例皮瓣因蒂部张力过大而致其远端部分坏死。术后随访6个月～4年,外形满意,功能良好,均重返工作岗位。结论:该术式具有操作简单,供瓣面积大,血运可靠,且不牺牲小腿主要动脉。该皮瓣对于小腿中下1/3、足跟、内、外踝及足背等较大面积缺损的修复,是一种较理想的方法,值得临床推广应用。

Objective： To introduce outcome of treating foot deep burn of electrical injury and crush thermal injury using reverse lateral supramalleolar artery island fascio - cutaneous flap. Methods： A reverse island fasciocutaneous flap was applied to repair 5 cases of the electrical burn injury and 4 cases of crush thermal injury at the dorsum of the foot and 3 cases of the calcaneal region ulcers. Results： 10cases of 12 flap grafting were survived, 2cases were partial necrosis in the rarest end because of pedicel tension being justo major. During postoperation follow up of a period of 6 months - 4 years, satisfactory results in function and cosmetic point were obtained. All returned their positions of the job. Conclusions： The operation is a simple, easy to operate way. It has such an advantage as a large flap available without sacrifice of a main blood vessel. It is an excellent method for repair of the deep burn in the lower 1/3 part of leg, in the heel, inner and lateral malleolus, dorsum pedis. It is valuable to populize.