股前外侧穿支皮瓣联合阔筋膜修复足背肌腱及皮肤缺损

Repair of dorsalis pedis tendon and skin defect with anterolateral femoral perforator flap combined with fascia lata

目的探讨股前外侧穿支皮瓣联合阔筋膜修复足背肌腱及皮肤缺损的临床效果。方法回顾性分析2014年1月至2018年3月收治的12例足背肌腱及皮肤缺损患者的临床资料。12例患者均采用阔筋膜修复肌腱缺损,股前外侧穿支皮瓣游离移植覆盖创面。结果12例皮瓣全部成活,患者均获随访,时间6~24个月,平均10个月,皮瓣外形及穿鞋满意。皮瓣感觉功能恢复良好,两点辨距觉10~15 mm。结论股前外侧穿支皮瓣联合阔筋膜修复足背肌腱及皮肤缺损,具有疗程短,对供区创伤小,外形与功能满意等优势,是一种修复足背肌腱及皮肤缺损的可靠手术方法。

Objective To explore the clinical effect of anterolateral femoral perforator flap combined with fascia lata in repairing the tendon and skin defect of dorsum pedis muscle.Methods The clinical data of 12 patients with dorsalis pedis tendon and skin defect in our hospital from January 2014 to March 2018 were analyzed retrospectively.The tendon defect was repaired with fascia lata in 12 patients,and the anterolateral femoral perforator flap was used to cover the wound.Results All the 12 flaps survived.The patients were followed up for 6 to 24 months with an average of 10 months.The shape of flaps and shoes'wearing were satisfactory.The sensory function of the flap recovered well,and the distance perception was 10-15 mm at two points.Conclusion The anterolateral femoral perforator flap combined with fascia lata is a reliable method for repairing the tendon and skin defect of the dorsum pedis with short course,less trauma to the donor site,satisfactory appearance and function.