外踝上逆行岛状皮瓣修复足背软组织缺损

Lateral supramalleolar antidromic insular flap for the reconstruction of dorsal aspect of foot

目的 :外踝上逆行岛状皮瓣修复足背软组织缺损。方法 :对 5例足背软组织缺损的病例 ,采用外踝上逆行岛状皮瓣进行修复 ,最大面积 10cm× 7cm ,最小 5cm× 4cm ,平均 6cm× 5cm。结果 :5例皮瓣完全成活 ,随访 2个月～ 2年 ,皮瓣质地优良 ,外观及功能满意。结论 :外踝上逆行岛状皮瓣为一良好的岛状筋膜皮瓣 ,该皮瓣切取方便 ,血供丰富 。

Objective:Lateral supramalleolar antidromic insular flap for the reconstruction of dorsal aspect of foot.Methods:Five patients with soft tissue defects in the dorsal aspect of foot were treated with lateral supramalleolar antidromic insular flap.The largest flap size was 10cm×7cm,the smallest was 5cm×4cm,with an average of 6cm×5cm.Results:The flap survived in all 5 patients.The color and texture of the flaps were nearly normal.Their appearance and function were satifactory after 2 months to 2years follow-up.Conclusion:lateral supramalleolar antidromic insular flap is a favourable anadesma flap.The dissection easy,The flap has a rich blood supply without sacrifice of major artery.