远端为蒂的外踝上皮瓣修复足背软组织缺损

Distally based lateral supramalleolar flap for the reconstruction of dorsal aspect of foot

目的报道以远端为蒂的外踝上皮瓣修复足背软组织缺损的效果。方法对 12例足背软组织缺损的病例，采用远端为蒂的外踝上皮瓣进行修复，皮瓣面积最大 9 cm× 6 cm，最小 5 cm× 4 cm，平均 6 cm× 5 cm。结果 12例皮瓣完全存活，随访 3周～ 24个月，皮瓣质地优良，外观及功能满意。结论远端为蒂的外踝上皮瓣为一可靠皮瓣，该皮瓣切取方便，血供丰富且不需牺牲主要动脉。该方法是修复足背部软组织缺损的一种良好方法。

Objective To report the results of distally based lateral supramalleolar flap for the reconstruction of dorsal aspect of foot. Methods Twelve patients with soft tissue defects in the dorsal aspect of foot were treated with distally based lateral supramalleolar flap. The largest flap size was 9 cm× 6 cm, the smallest was 5 cm× 4 cm, with an average of 6 cm× 5 cm. Results The flap survived in all 12 patients. The color and texture of the flaps were nearly normal. Their appearance and function were satisfactory after 3 weeks to 24 months follow- up. Conclusion Distally based lateral supramalleolar flap is a reliable flap. The dissection is easy. The flap has a rich blood supply without sacrifice of major artery. It can be used reliably for the reconstruction of dorsal aspect of foot.