带蒂拇展肌皮瓣转位修复足部软组织缺损的解剖与临床

Anatomy and dinical Applications of Musculus Abductor Hallucis Pediculated Skin in Repairing Soft Tissue Damage of Feet

目的:为应用带蒂拇展肌皮瓣移位修复足部皮肤缺损提供解剖学依据。方法:在33侧经动脉内灌注红色乳胶的成人下肢标本上,解剖观测拇展肌的形态、血供和神经支配,设计并应用带蒂拇展肌皮瓣转位修复足部软组织缺损65例。结果:经1.5～5年的随访,肌皮瓣成活良好,足负重功能恢复基本正常。结论:证实拇展肌皮瓣在足部软组织缺损治疗中有独特的疗效。

Objective: To provide anatomical basis for the repair of tissue damage of feet with museulus abductor hallucis pediculated skin. Method :The shape blood supply and inner vation of museulus abductor hallueis were observed abduetor on 33 sides of adult cadaveric lower limls with red latex in artery 65 cases of feet tissue damage were repaired with museulus hallucis pediculated skin. Re-sults: 1.5-5 years follow - up indicated that the musculocutaneous flap -survived and the weioated that the museulocutaneous flap sur-vived and the weight - bearing function of feet became normal. Conclusion: The nmsculus abdutor hallucis pedieulated skingrafting hass unique effect in repairing soft tissue injury of feet.