比目鱼肌内侧半肌瓣逆行移位术的临床应用

Clinical application for retrograde transposition of muscle flap pedicled with medial half of soleus

目的 为临床上治疗胫骨中下段及踝部慢性骨髓炎合并软组织缺损提供一种一期修复的方法。方法 通过比目鱼肌内侧半血供主要由胫后动脉节段分支供应的解剖学特点 ,设计切取比目鱼肌内侧半肌瓣逆行移位术 ,其最低旋转点为内踝突出点上 10 .0 cm(9.70 cm± 2 .43cm)处。结果 经临床应用 2 4例 ,平均随访 2年 ,均取得满意疗效。

Objective To provide a primary new method for repairing the chronic osteomyelitis and soft tissue defect on the middle inferior tibia and ankle.Methods By anatomic regularity of medial half of soleus supplied segmental branches of posterior tibial artery,the retrograde transposition of muscle flap pedicled with medial half of soleus was designed.The nest turning point was 10.0cm(9.70cm±2.43cm)above the medial malleolus.Results Satisfactory effect was obtained by 24 patients followed up two years in clinic.Conclusions The retrograde transposition of muscle flap pedicled with medial half of soleus was a simple and effective new operative way for repairing the chronic osteomylitis and soft tissue defect on the middle inferior tibia and ankle. [