腓肠内侧动脉带蒂皮瓣与肌瓣移植治疗小腿软组织缺损

Surgical treatment of soft tissue defect with medial sural artery perforator pedicled flap or muscle flap

对21例髌前和胫前区软组织缺损，采用腓肠内侧动脉穿支带蒂皮瓣或肌瓣治疗，其中皮瓣10例，肌瓣11例。2例术后发生表浅感染，皮瓣和肌瓣全部成活，取得了较满意的效果。提示带蒂移植适宜修复髌前或胫前软组织缺损。

This article was to discuss the effectiveness of medial sural artery perforator pedicled flap or muscle flap in the treatment of soft tissue defect prepatellar （n=7） or pretibial （n=14） defect Since 2002, 21 patients （14 males and 7 females） with had underwent soft tissue reconstruction. Ten of them obtained medial sural artery perforator pedicled flap and the rest received muscle flap. All the medial sural artery perforator pedicled flaps and muscle flaps survived well and the clinical outcomes were satisfactory. No remarkable donor site morbidity was found. According to our data, medial sural artery perforator pedicled flap or muscle flap may seem to be highly vascularized and have constant vascular anatomy and long vascular pedicle. They could be useful in the treatment of prepatellar or pretibial soft tissue defect.