足踝部组织缺损修复重建的研究进展

Research progress in repair and reconstruction of tissue defect of foot and ankle

足踝部具有较多的短骨、关节及韧带,其形态和生物力学复杂,意外创伤等易导致足踝部组织缺损,严重影响足负重行走功能。近年来修复重建技术不断发展,手术方法选择多种多样,但如何进一步减少手术风险,最大限度地恢复足踝形态及功能一直是研究的热点、难点。本文从足踝部组织缺损的类型出发,广泛查阅国内外足踝部组织缺损修复重建方法及疗效的相关文献,综述近年来足踝部组织缺损修复重建的进展,对各种手术方式进行归纳。

In the foot and ankle there are many short bones,joints and ligaments with complex shape and biomechanics.The tissue de⁃fects of the foot and ankle due to accidental trauma and other reasons have serious impact on the foot's weight bearing and walking function.In recent years,with the continuous development of repair and reconstruction techniques,surgeons have a variety of surgical methods cho⁃sen.However,how to further reduce the risk of surgery and maximize the recovery of foot and ankle in shape and function has always been a research hotspot and difficult issue in surgical technique.Based on the types of tissue defects in the foot and ankle,this article extensively re⁃viewed the relevant literature on the repair and reconstruction methods and efficacy for tissue defects in the foot and ankle at home and abroad,and summarized various surgical methods to provide a reference for clinicians.