足底内侧皮瓣在修复足部软组织缺损中的应用

Application of medial plantar skin flap in repairing of soft tissue defects of foot

目的探讨足底内侧皮瓣在前足软组织缺损中的应用价值。方法对8例足部软组织缺损患者使用足底内侧皮瓣进行修复，标记内踝与足跟间胫后动脉走行投影线，标出内踝前缘延续线与足底内侧缘交点，此处定为皮瓣旋转点。从旋转点至第1、2跖骨头间划一直线，为皮瓣设计的轴心线。在轴心线两侧各5cm、跖骨头后面足底的非负重区，按照足部扩创后创面的大小和形状设计皮瓣。结果8例皮瓣全部成活，伤口愈合良好，随访6～13个月，受区不臃肿、外观满意；供区外形恢复良好，未有感觉异常。结论使用足底内侧皮瓣修复足部软纽织缺损简单灵活，治疗安全性高，功能外形恢复良好。

Objective To explore the application value of medial plantar soft tissue defect. Methods Eight cases with foot soft tissue defects were treated land flap. Mark the projection line of malleolus and posterior tibial artery between flap in repairing foot by medial plantar isthe heel, then mark the intersection between front line extension of malleolus and plantar medial border, as the flap rotation point here. Draw a straight line from the flap rotation point to the first and second metatarsus, as the asis line of flap. In accordance with the wounds after debridement of foot size and shape to design flap in the non - weight - bearing area which 5 cm on each side of the axis line and behind metatarsal head. Results All flap survived completely, wound had been well healing, All cases were followed up for 6-13 months. The acceptance region won＇t swelling, and had satisfactory appearance. The figure and feeling of the supply area were good. Conclusions The method of using medial plantar skin flap to repair the soft tissue defects of foot can achieve the results of good shapes and functions with simple and flexible operation and safe treatment.