应用外踝上皮瓣修复足踝部皮肤缺损

Clinical application of lateral supramalleolar skin flap for the reconstruction of skin defects of the foot and ankle

目的 探讨外踝上皮瓣修复足踝部皮肤缺损的临床疗效.方法 2008年3月至2012年10月,应用外踝上皮瓣修复外伤性足踝部皮肤缺损15例,其中合并踝关节,蹠跗关节骨折10例.常规清创后二期设计外踝上皮瓣修复缺损创面,皮瓣面积最大10 cm×8 cm,最小5 cm×4cm,平均8 cm×5 cm.结果 所有皮瓣均成活.其中3例术后24 h皮瓣远端出现水泡,经处理后愈合.结论 外踝上皮瓣血管解剖恒定,切取简单,成活率高,是修复足踝部皮肤缺损的一种较好方式.

Objective To explore the clinical effect of lateral supramalleolar flap on repairing skin defects of the foot and ankle. Methods From March 2008 to October 2012,15 cases of traumatic skin defects of the foot and ankle were repaired with the lateral supramalleolar flap,including 10 cases of combined fractures in the ankle joint and tarsometatarsal joint. The conventional two-stage repair with lateral supramafleolar flap was designed and applied for the defect areas. The size of the flaps ranged from l0 cm x 8 cm to 5 cmx 4 cm,with an average of 8 cmx 5 era. Results All the flaps survived. In the first 24 hours after operation,3 cases of blisters occurred in the distal end of the flaps and they were healed after appropriate treatment. Conclusion The vessel of lateral supramalleolar flap was constant in anatomy, simple in cutting and satisfactory in survival rate, which is a good method in repairing skin defects of the foot and ankle.