胫后侧逆行岛状筋膜蒂皮瓣修复踝周围软组织缺损

The Application of Distally Based Fascial pedicled Island flap on the posterior of Tibial To Repair of Tissues Defect Around on the Ankle

总结1993年5月～1998年8月，应用胫后侧二种逆行岛状筋膜蒂皮瓣多向转位修复踝部周围皮肤缺损的临床效果。利用胫后动脉肌间隙的穿动脉，腓动脉肌间隙支，腓动脉外踝支与腓肠浅动脉广泛吻合，设计胫后侧两种筋膜蒂皮瓣。应用皮瓣切取面积（4×6）cm2～（10×8）cm2,皮瓣全部成活。该皮瓣切取方便、适用。不牺牲主干血管，对足血供、负重影响小。

In order to preserve the maior vessels of extremities in the repair and reconstruction of wounds aroundon the ankle, two kinds with Multipic transference of distally based facial flap was applied clinically. They were pos-terolateral pedicled island and posteromedial distally based island flap which could be used to repair the skin defect ofheel, dorsum of foot lateral and medial distal Part of leg. 9 cases with soft tissue defects around the ankle were treated,the area of skin defect ranged from (3×5 )cm to (10×8) cm, All the flap were Survived completely after operation, theblood supply was reliable, preparation of the flap was easy and the maor arteries of the calf needed not be Secrificedthe flap had a long and rotatable pedicle so that they would basically satisfy the need to rapair skin defect of lower leg,dorsum of foot and heel, However the injury to the Supreficial sual nerve was the shortcoming.