足底内侧岛状皮瓣修复足跟部软组织缺损的疗效观察

The effect observation of medial plantar island skin flap in repairing the soft tissue defect of heel

目的探讨采用足底内侧岛状皮瓣治疗足跟部皮肤缺损的临床效果。方法对9例应用足底内侧岛状皮瓣修复足跟部创面的患者的临床资料进行回顾性分析。结果 8例皮瓣均完全成活,1例皮瓣远侧表皮部分坏死。9例患者出院时创面均愈合,感染控制无复发,无溃疡及压疮形成。皮瓣供区均愈合良好,皮瓣外观均满意,术后随访1～6个月,皮瓣与跟骨间贴附良好,患者无前足底部及足趾发麻,神经感觉良好。结论由于足底皮肤缺损修复的特殊性,应用带蒂皮瓣移植修复,血供丰富,有益于足跟功能重建。根据缺损的具体情况选择不同的带蒂皮瓣,并证实了足底内侧岛状皮瓣移植为修复足跟部软组织缺损的一种较好方法。

Objective To discuss the effect of medial plantar island skin flap in repairing the soft tissue defect of heel.Methods Retrospective analysed the clinical applieation of 9 cases patients of using medial plantar island skin flap in repairing the soft tissue defect of heel.Results 8 cases flaps survived unevenifully,1 cases flapsepidermal necrosis.When the 9 cases patients left hospital,wound healing,secondary suture,skin grafting.Through 1～6 months follow up,the 9 flaps survived well,and there were neither relapse of suppuration nor the formation of uleers and pressure sores.Conclusion This technique should be used to repair the soft tissue of the heel,because the flaps have excellent blood supply,it can get functional improvement.To confirm that distally island flap pedicled with vascular axis of the surral superficial,and it＇s a good method of may be repairing the soft tissue defect of heel.