腓肠神经营养血管远端蒂皮瓣治疗足踝部软组织缺损

Distal vascular flap with sural nerve for reconstruction of foot and ankle soft tissue defect

目的：探讨腓肠神经营养血管远端蒂皮瓣治疗足踝部软组织缺损的效果。方法：以小腿腓肠神经营养血管为蒂设计并切取皮瓣,逆行转移修复踝部、足跟部、足背及足内侧皮肤软组织缺损26例。结果：26例皮瓣中除1例修复前足内侧皮瓣远端发生脂肪液化外,余25例皮瓣全部成活。随访1~12个月,皮瓣色泽、质地、弹性良好,无破溃发生。结论：腓肠神经营养血管蒂皮瓣是修复踝部、足跟部、足背及足内侧皮肤软组织缺损的理想方法。

Objective：To explore the therapeutic effects of reconstruction of soft tissue defect in foot and ankle by distal vascular flap with sural nerve.Methods：Twenty-six patients with soft tissue defects in the heel and near the ankle were treated with distal sural neurovascular flaps.Results：All of the 26 flaps survived completely after surgery,but one flap underwent fat liquefaction.All patients were followed up for 1-12 months.The color and texture of the flap were excellent,and the function recovery was satisfactory.Conclusion：It is an effective way to repair foot and ankle soft tissue defect by distal vascular flap with sural nerve.