低位小腿带蒂皮瓣修复前足软组织缺损

Curative Effect of Repairing the Distal Foot Skin and Soft Tissue Defect by using Flap

目的观察应用低位小腿带蒂皮瓣瓣修复前足皮肤软组织缺损的疗效.方法应用低位腓肠神经营养动脉皮瓣与外踝上穿支皮瓣修复足部远端皮肤软组织缺损16例.结果所有病例皮瓣均成活,腓肠神经营养动脉皮瓣有2例出现小部分皮缘坏死,二期行坏死组织清创及换药愈合.随访16例,随访3－16个月,2例轻度肿胀,1例返院行皮瓣修薄术;14例步行走如常,2例微跛,与患者前足损伤部分组织缺损有关.采用皮瓣修复前足部损伤,可以最大限度地挽救肢体功能,减少病残率.结论低旋转点带蒂皮瓣是一种手术简单易行,能以较小的供瓣区代价、美观有效的修复前足部皮肤软组织缺损的手术方法.

Objective To observe the curative effect of repairing the distal foot skin and soft tissue defect by using flap. Methods We used nutrient artery flap and low external ankle to repair the foot distal skin soft tissue defect in 16 cases. Results The flap survived, necrosis happened in small skin edge part and distal skin flap of sural nerve nutrient artery flap in two cases, and the skin graft healing with dots after removed the necrotic tissue and changed dressing. 16 cases were followed up for 3-16 months, 2 cases of flap slightly bloated,1 case back to the hospital got thin skin flap repairing technique;14 cases of walking were as usual,2 lame cases,related to some tissue defect in patients with forefoot injury. The use of flap to repair the foot injury,could maximially recover the limb function,reduce the rate of the sick. Conclusion Skin flap is a kind of operation which is simple,with smaller cost for skin area,beautiful and effective to repair skin and soft tissue defect of foot.