腓肠神经营养血管皮瓣逆行修复累及前足的足踝部软组织缺损

Repair of the soft tissue defects of the anterior foot and the ankle with the reversed sural neurocutaneous flap

目的:探讨应用腓肠神经营养血管皮瓣治疗累及前足的足踝部软组织缺损的手术方法及临床效果。方法:自1999年3月至2004年11月应用腓肠神经营养血管皮瓣治疗累及前足的足踝部软组织缺损19例,男17例,女2例;年龄17～49岁,平均31.4岁;左足11例,右足8例。切取皮瓣面积最大30cm×18cm,最小18cm×9cm。结果:术后皮瓣全部成活,1例皮缘坏死,换药愈合。随访6个月～2年,平均18个月,皮瓣外形满意,功能良好。结论:腓肠神经营养血管皮瓣切取简单,成活率高,是修复累及前足的足踝部软组织缺损的有效方法。

Objective ： To investigate the operative method and effect of the reversed sural neuroeutaneous flap in repairing soft tissue defects of the anterior foot and the ankle. Methods ： From March 1999 to November 2004,19 eases （ 17 male, 2 female）of soft tissue defects of the anterior foot and the ankle were repaired with the reversed sural neuroeutaneous flaps. The flap sizes range from 18 cm×9 cm to 30 cm×18cm. Results：All flaps survived well ,while 1 flap had distal partial necrosis and healed after dressing change. The follow-up from 6 months to 2 years showed that all flaps were satisfactory. Conclusion： Sural neuroeutaneous flap is easy to get and to survive. It is an effective method to repair the soft tissue defects of the anterior foot and the ankle.