吻合血管的腓肠内侧动脉肌瓣治疗足部损伤的临床观察

Treatment of foot injury with free medial sural artery perforator muscle flap

应用吻合血管腓肠内侧动脉肌瓣移植治疗足部软组织缺损7例（男性6例，女性1例）。年龄19～46岁（平均33岁）。肌瓣表面行一期中厚网状游离植皮，供区直接缝合。术后随访7个月-5．5年（平均2．5年），肌瓣和其上植皮全部成活。无明显的供区功能障碍。取得了较满意的效果。该肌瓣具有血供丰富、血管解剖恒定以及血管蒂长等优点，游离移植适于修复足部软组织缺损。

This observation was to assess the treatment effects of free medial sural artery perforator muscle flap on foot reconstruction. Seven patients （6 men, and 1 woman; age 19 to 46 years, mean 33 ） with soft tissue defects on the foot underwent surgical procedures by using free medial sural artery perforator muscle flap. The coverage of the muscle flaps was performed by a meshed split-thickness skin graft. The donor site was closed. Median follow-up was 2. 5 years （ range 7 months to 5.5 years）. All the muscle flaps and skin grafts survived without major complications, and no morbidity was found at the donor sites. The muscle flaps seem to have advantage in blood supply, vascular anatomy and pedicle length, and may be helpful in the repair of soft tissue defects on the foot.