腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部创面

Distally Sural Perforator Artery Pedicled Fasciocutaneous Flap in Emergency Reconstruction of Soft Tissue Defects around the Ankle

目的报道腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部皮肤软组织缺损临床疗效。方法笔者送取2008年5月～2010年12月间根据足踝部不同的创面缺损情况,在患侧小腿外侧设计腓动脉远端穿支蒂筋膜皮瓣急诊修复足踝部缺损创面的15例患者。结果术后皮瓣完全成活,创面1期愈合,经3～48个月随访,皮瓣质地优良、色泽接近正常,外形美观、功能良好。结论利用合理的皮瓣设计,选用血液供应良好、手术方法简单、安全、供区损伤小的皮瓣急诊修复足踝部皮肤缺损创面,获得较为满意的疗效,可供临床选择应用。

Objective To report our clinical effect of the distally sural perforator artery pedicled fasciocutaneous flap in emergency reconstruction of soft tissue defects around the ankle. Methods From May 2008 to December 2010, We had designed 15 cases who aaepted distally sural perforator artery pcdieled fasiocutaneous flaps which based on different soft tissue defects around the ankles in emergency. Results All flaps were survived and these wounds were healed by first intention. After 3 - 48 months following - up, the colors and appearances of these flaps were close to normal, and the quality and function of these flaps were excellent. Conclusion The distally sural perforator artery pedicled fasiocutaneous flap is well designed and has relatively constant blood supply. The flap transposition is simple and safe, it is a good choice in repairing soft tissue defects around the ankle in emergency treatment.