游离股前外侧皮瓣修复儿童足踝部皮肤软组织缺损

Transplantation of the anterolaterai thigh flap for the repair of soft tissue defect at foot and ankle in children.

目的探讨游离股前外侧皮瓣修复儿童足踝部皮肤软组织缺损的临床应用及效果。方法自2000年6月至2011年6月，采取游离股前外侧皮瓣修复儿童足踝部皮肤软组织缺损20例，其中男12例，女8例，年龄6—14岁，平均11岁。新鲜创面8例，晚期感染创面12例。创面面积6cm×8cm～18cm×15cm，平均12cm×8cm，皮瓣切取范围7cm×8cm-18cm×16cm。结果20例均获随访，平均随访时间1年5个月。移植组织全部成活20例，愈合时间12～18d，皮瓣供区可采用游离皮片移植，各种组织移植供区无功能障碍。结论游离股前外侧皮瓣修复儿童足踝部皮肤软组织缺损，疗效可靠，是理想的治疗方法。

Objective To explore the clinical application and effect of the transplantation of the anterolateral thigh flap for the repair of soft tissue defect at foot and ankle in children. Methods From June 2000 to June 2011,20 anterolateral thigh flaps were applied to repair soft tissue defect at foot and ankle in children. Of the 20 cases, there were 12 males and 8 females（their ages ranged from 6 to 14, 11 on average）. 8 cases were fresh wound 12 cases were delayed infectious wound. The area of wound ranged from 6 cm × 8 cm to 18 cm × 15 dm（ 12 cm× 8 cm on average）. The area of flap ranged from 7 cm× 8 cm - 18 cm × 16 cm. Results 20 cases were followed up, A mean follow-up was 17 months. 20 flaps survived completely （ healing time ranged from 12 to 18 days）, The supplied regions can be healed by skin graft. The functions of all supplied regions were not found dysfunction. Conclusions The transplantation of the anterolateral thigh flap is an optimal method for the repair of soft tissue defect at foot and ankle in children, which have lesser injury and good outcome.