带外踝后腓动脉穿支的V-Y推进皮瓣修复儿童足跟后区较小创面

Reconstruction of small skin defect on children heel with V-Y advanced flap pedicled with perforator of peroneal artery at posterior lateral malleolus

目的 探讨带外踝后腓动脉穿支的V-Y推进皮瓣修复儿童跟后区较小创面的方法及疗效.方法 2012年3月至2014年1月,收治9例儿童足跟后区较小软组织缺损,采用近创面带外踝后腓动脉穿支为蒂的V-Y推进皮瓣移位修复,皮瓣大小为8.0 cm×4.0 cm ～9.0 cm×4.5 cm,供区直接拉拢缝合.结果 术后皮瓣血运好,完全成活,创面一期愈合;供区切口一期愈合.患儿均获随访,时间为6～12个月,平均为9个月,皮瓣色泽、质地与周围组织接近,外形无臃肿,踝关节活动无障碍.所有患儿父母对术后患肢的功能和外形均满意.结论 带外踝后腓动脉穿支V-Y推进皮瓣手术操作简单、安全、疗程短,是修复儿童跟后区较小创面的有效方法.

Objective To investigate the therapeutic effect of V-Y advanced flap pedicled with perforator of peroneal artery at posterior lateral malleolus for small skin defect on children heel.Methods From Mar.2012 to Jan.2014,9 children with small skin defects on heel were treated with adjacent V-Y advanced flap pedicled with perforator of peroneal artery at posterior lateral malleolus.The flaps were 8.0 cm ×4.0 cm to 9.0 cm ×4.5 cm in size and the wounds at donor sits were directly closed.Results All flaps survived completely with primary healing.9 cases were followed up for 6-12 months（average,9 months）.The flaps had good match with surrounding tissuein texture and color.The function of ankle was normal.All the parents were satisfied with functional and cosmetic results.Conclusions It is a safe and practical method for treatment of small skin defect on children heel with adjacent V-Y advanced flap pedicled with perforator of peroneal artery at posterior lateral malleolus.