第一趾带蒂腓侧瓣修复足部皮肤软组织缺损

The clinical study of the pedicled fibular flap in repairing the soft tissue defect of the foot

目的探讨第一趾带蒂腓侧瓣在修复足部皮肤软组织缺损中的临床应用效果。方法随机选取我院诊治的足部皮肤软组织损伤患者40例,择期采用第一趾带蒂腓侧瓣(FTFF)游离移植修复。其中感染创面16例,清洁创面24例。皮瓣切取面积为1.6m×0.8cm^2.5cm×2.0cm。结果 33例皮瓣移植均顺利成活,7例皮瓣移植过程中出现水泡,部分呈青紫色,后予以拆线等对症处理后最终成活。术后随访6至19个月,皮瓣色泽与质地均较好,未见明显臃肿。结论第一趾带蒂腓侧瓣对足部中、小皮肤缺损的修复,尤其对足底创面的修复将直接影响着足部的功能。第一趾带蒂腓侧皮瓣血管解剖稳定,皮瓣质地好,且耐磨,对供区影响小,对受区功能恢复好。因此,是足部皮肤软组织缺损修复的良好选择。

Objective To investigate the clinical effect of the first toe of tifia flap in repairing the soft tissue defect of the foot. Methods A total of 40 patients in our hospital were collected from January 2015 to June 2017. The First toe of the fibular flap （ FT- FF） was used to repair the graft. There were 16 cases of infected wound and 24 cases of cleaned wound. The area of the flap is from 4cm x 3cm to 6cm x 4cm. Results All of the 33 cases of were successfully survival, and 7 cases of flaps appeared the bubbles and the parts were purple in the process of skin flap transplantation. And finally the skin flap transplantation were survival after the disas- sembly line and other symptomatic treatment. Conclusion The first toe of the pedicled fibular flap for the repair of small skin defects in the foot, especially the repair of the plantar wound would directly affect the function of the foot. The skin flap of the first toe was sta- ble and the skin flap was good and wear - resistant. It had little effect on the supply area and could be benefit to the functional recovery of the recipient area. Therefore, it was a good choice to repair the soft tissue defect of the foot.