小腿内侧骨膜皮瓣治疗小腿骨皮缺损

TREATMENT OF OSTEOCUTANEOUS DEFECT OF LEG BY REVERSED OR PERI0STEOCUTANEOUS FLAP OF TIBIA

报道2例小腿远端骨、皮肤缺损,用以胫后动脉及其发出的皮支为蒂设计胫骨骨膜皮瓣,带蒂移位修复骨、皮缺损,手术成功。术后随访1年,疗效满意。

This article introduced a newmethod of repaire of osteocutaneousdefect of the lower leg by thetransfer of periosteocutaneous flap.The donor artery was the posteriortibial artery which supplied the skinof the medial aspect of the middleand lower leg. The medial skin flapof the leg had vascular communicat-ion with the periostium of the ant-erior aspect of the tibia. The shapeand size of the flap could be design-ed according to the recipient area,and the flap axis should be along theline from medial tibial condyle tothe medial malleolus, generelly at the level of 3. 7. 11. or 15 cm abovethe medial malleolus.The skin defectcould be repaired by free graft, and2 patients received this operationhad achieved good result after 1 yearfollow-up.