改良外踝上动脉岛状皮瓣在足部皮肤缺损中的应用  

Application of the repairing foot and ankle soft tissue defect with the modified lateral superamalleolar island flap

作　　者：李军[1] 万海武[1] 余建明[1] 

机构地区：[1]江西省九江学院附属医院骨科,九江332000

出　　处：《江西医药》2008年第11期1143-1144,共2页Jiangxi Medical Journal

摘　　要：目的了解应用改良外踝上动脉岛状皮瓣修复足踝部软组织缺损的临床效果。方法应用上述方法修复各种原因所致的足踝部软组织缺损共28例。结果27例皮瓣全部成活,1例远端皮肤1～2cm皮肤坏死,皮瓣最大面积16×9cm,最小6×4cm,随访6m～2y年,效果满意。结论应用此种皮瓣手术简便,不损伤小腿主要血管,是修复足踝、足背部软组织缺损理想方法。Objective To evaluate the clinical effect of the repairing foot and ankle soft tissue defect with the modified lateral superamalleolar island flap.Methods From 2000 to 2007,there were 28 case of soft tissues defects on the feet and the ankles due to various trauma repairs with the modified lateral superamalleolar island flap.Results The flaps survived completely in 27 cases and 1 to 2cm necrosis at distal end of the flat in 1 case.the size of the flap ranged from 16×9cm to 6×4cm.All of the 14 cases were evaluated as satisfactory after 6 months to 2 years follow-up.Conclusion The operations with this kind of flap can repair most of the soft tissue defects on the foot and ankle and without sacrificing major arteries.The flap is easily made ,and the procedure is safe and satisfactory methods.

关 键 词：足和踝部 软组织缺损 外踝上皮瓣 

分 类 号：R681.8[医药卫生—骨科学]