小腿后外侧逆行筋膜蒂岛状瓣修复足部缺损  

Repair of foot defect with a reverse fascial pedicled posterolateral lower leg flap

作　　者：曹卫刚[1] 李圣利[1] 王善良[1] 张群[1] 杨川[1] 王炜[1] 

机构地区：[1]上海第二医科大学附属第九人民医院整复外科,200011

出　　处：《中华整形外科杂志》2004年第1期35-37,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨小腿后外侧逆行筋膜蒂岛状瓣在同侧足部缺损修复中的应用。方法　以小腿外踝及跟腱之间踝关节血管网向上穿支血管及筋膜为蒂 ,形成上达窝下方、前后达小腿内外侧中线的小腿后外侧逆行筋膜蒂岛状皮瓣 ,修复同侧足跟及足背等皮肤软组织深度缺损。结果　应用 6例 ,皮瓣全部成活 ,其中 2例分别为 5岁及 6岁的患儿。结论　该法具有操作简单 ,供瓣面积大 ,血运安全可靠 ,不牺牲主要血管等优点 ,对于小腿中下部、足跟、内外踝及足背部等处较大软组织深度缺损的修复 ,是一种较理想的方法。Objective To explore the applications of ipsilateral reverse fascial pedicled posterolateral lower leg flap in foot defect repair. Methods A fasciocutaneous flap was designed over the gastrocnemius muscle to repair the defects in the foot or the lower third of the leg. The flap was based on a perforator branch between the lateral malleolus and the Achilles tendon, coming from the vessel network of the ankle as well as the deep fascia. Results This method was used in 6 cases, including 2 children of 5～6 years old. All the flaps survived without necrosis and venous congestion. Conclusions The operation is simple and a large flap over the whole gastrocnemius muscle can be raised without sacrifice of a main blood vessel. It is an excellent method for repair of the defects in the heel, medial and lateral malleolus, dorsum pedis and the lower third of the leg.

关 键 词：小腿 筋膜蒂 逆行 足部缺损 修复 外踝 足背 软组织 

分 类 号：R622.1[医药卫生—整形外科]