带髂胫束的游离股前外侧皮瓣修复足背复合组织缺损

The free femoral anterolateral flap combined with iliotibial band to repair dorsalis pedis composite tissue defects

目的 探讨带髂胫束的游离股前外侧皮瓣修复足背复合组织缺损的疗效。方法对2008年9月～2011年6月收治的16例足背复合组织缺损，采用带髂胫束的股前外侧皮瓣游离移植修复，皮瓣切取范围6．5cm×9．0cm-12．0cm×22．0cm，髂胫柬的切取长度7．0-25．0cm，宽度6．0-9．0cm。结果术后所有皮瓣均成活。优9例，良5例，可2例，优良率87．5％。结论带髂胫柬的股前外侧皮瓣游离移植修复足背复合组织缺损并重建趾伸肌腱是一种有效的手术方法。

Objective To assess the effect on free femoral anterolateral skin flap with the iliotibial band to repair the curative effect of dorsalis pedis composite tissue defects. Methods From September 2008 to June 2011, femoral anterolateral flap transplantation with the iliotibial band to repair and toe tendon concurrent instep area skin defect in 16 cases, skin flap ranged from 6.5 cm × 9.0 cm-6.5 cm × 10.5 cm, the length of the iliotibial band was cut 7.0-11.0 cm, 6.0-9.0 cm width. According to the Chinese medical association in to the upper extremity function evaluation standard to assess efficacy. Follow-up for 6 months to 2 years. Results All flaps survived after operation. Excellent in 9 cases, good in 5 cases, fair in 2 cases. Conclusion With femoral anterolateral flap transplantation iliotibial band is an effective method to repair dorsalis pedis composite tissue defect and rebuild toe tendon surgery method.