足跟部软组织缺损36例分析

Analysis of 37 patients with soft tissue defects in dorsum

目的探讨足跟部软组织缺损的修复方法。方法对36例足跟部软组织缺损患者分别采用足底内侧岛状皮瓣、足背岛状皮瓣以及小腿下内侧逆行筋膜蒂皮瓣进行修复。结果术后皮瓣全部成活，质地优良。随访无一例足跟溃疡发生，足跟功能恢复正常。结论足底内侧岛状皮瓣、足背岛状皮瓣以及小腿下内侧逆行筋膜蒂皮瓣血供可靠，取材容易，此三种皮瓣是修复足底软组织缺损较理想的组织材料；一般不宜皮片移植修复。

Objective To repair heel soft tissue defects more perfectly so that the patients can walk freely, and avoid heel ulcer after operation. Method Applied lateral plantar island skip flap, island skin flap of dorsum of foot and lateral reversed island fascio - cutaneous flap of lower leg to cure 36 patients with heel soft tissue defects. Result All skin flaps have survived and the function keeps so well that no one case of heel ulcer have been found. Conclusion It＇ s easy to take the lateral plantar island skip flap,island skin flap of dorsum of foot and lateral reversed island fascio - cutaneous flap of lower leg which have reliable blood supply. These three skin flaps are ideal organization material to repair heel soft tissue defects which are inadvisable to repair with free skin graft.