游离足跗外侧皮瓣移植修复手部软组织缺损

lateral tarsal flap transfer for repair of skin defects of the hand

目的探讨应用游离足跗外侧皮瓣移植修复手部软组织缺损的临床效果。方法对35例手部软组织缺损，采用以足跗外侧动脉血管为蒂的足跗外侧皮瓣游离移植，皮瓣切取面积为4cm×3cm-8cm×4cm。结果术后皮瓣全部存活，经6～18个月的随访，皮瓣质地好，不臃肿，色泽与手部皮肤相似，感觉恢复良好，手功能满意。结论足跗外侧皮瓣的血管解剖恒定、皮瓣质量好，是修复中小面积的手部软组织缺损的有效方法。

Objective To explore the clinical efficacy d repairing hand skin defect by free lateral tarsal flap transfer. Methods Lateral tarsal flap free transplantation based on the lateral tarsal artery was carried out to repair skin defects of the hand in 35 cases. The size of flap ranged from 4 cm× 3 cm to 8 cm × 4 era. Results All skin flaps survived. The follow-up time was 6 to 18 months. The flaps showed good texture and color match with no bulkiness. The sensory recovery was good and hand function was satisfactory. Conclusion The free lateral tarsal flap has a relatively consistent vascular pedicle. The flap is easy to dissect, thus is a useful option to repair small and medium size skin defects in the hand.