腓肠神经营养血管皮瓣的临床应用

Clinical appfication of sural neurovascular flap supplied by sural nerve mutrition blood vessel Hou qi chen jiasheni Li department of orthopedic, the people＇s hospital of susong

目的探讨腓肠神经营养血管皮瓣的临床应用特点。方法对17例腱外露软组织缺损的患者采用腓肠神经血管深筋膜皮瓣修复（足、足跟、踝、跟腱及胫前区骨）手术。结果17例中14例一期成活。2例皮瓣水肿，边缘部分坏死，经切开减压，换药后成活。1例因跟骨骨髓炎形成皮瓣边缘慢性窦道，6个月后，骨折愈合，再行扩创、解除内固定、搔刮、冲洗后愈合。结论腓肠神经营养血管皮瓣切取简便，不需吻合血管，是修复足跟、内外踝、跟腱处和小腿软组织缺损的理想供区。

Objective To investigate the characteristics of clinical application of skin flap supplied by sural nerve nutrition blood vessel. Methods The flaps wer9 used in 17 cases to repair the soft tissue defect in heel,mallelous,anterior tibial and achilles tendon. Results 14 cases of 17 survived satisfactory. 2 cases presented edema and partially necrosis ,they finally survived after open decompression and change of dressing. 1 case presented chronic sinus because of osteomyelitis of calcaneus. 6 months later, when the fracture h.ealed, we performed debridement, removal of internal fixation,curettage and irrigation. It finally healed. Conclusion The sural nerve nutrition blood vessel flap was easy to elevate and safe,which was an ideal flap for repairing the soft tissue defect around the heel,malleolus, achilles tendon and the anterior tibial.