足前部皮肤缺损修复的进展

The Front Foot to Repair Skin Defects of the Progress

前足损伤造成的皮肤软组织缺损，修复和重建较为困难。传统带蒂皮瓣，因并发症多，临床上应用越来越少。游离皮瓣手术难度和风险较大，在临床上应用受到一定限制。随着显微外科解剖学研究的不断深入，各种岛状皮瓣修复足前部皮肤缺损相继出现，包括：①足背区皮瓣；②踝上区皮瓣；③足底区皮瓣；（剪足内侧区皮瓣。所以，正确选择治疗方案，积极预防和治疗并发症对前足皮肤软组织缺损的修复有重要意义。

The front foot damage caused by skin and soft tissue defects, which was difficult to be repaired and reconstructed. Because of too much complication, traditional pedicle flap is used less and less in clinical experience. As a difficuh and risky method, Free flap surgery are restrained in clinical applications. With the development of microsurgical anatomy, a variety of island flap to repair the front foot skin defects have emerged one after another, including dorsal skin area, ankle area on the skin, plantar skin area and foot medial area of skin. Therefore, the proper therapeutic scheme, and active prevention and treatment of complications are of importance to the front foot skin and soft tissue defect.