跗外侧动脉穿支皮瓣修复拇甲瓣供区创面的临床应用  

LATERAL TARSAL ARTERY FLAP FOR RESURFACING OF THE DONOR DEFECT AFTER WRAP-AROUND TOE TRANSFER WITH A FREE FLAP

作　　者：申立林[1] 蔺翠霞[1] 孙雪生[1] 李新霞[1] 朱涛[1] 李强[1] 

机构地区：[1]泰山医学院附属莱芜医院骨二科,山东莱芜271199

出　　处：《齐鲁医学杂志》2015年第1期42-43,共2页Medical Journal of Qilu

摘　　要：目的 探讨拇甲瓣切取术后供区修复方法,以更大程度地保留拇趾的功能。方法 用以跗外侧动脉为蒂的跗外侧皮瓣逆行转移修复拇甲瓣创面,该皮瓣以跗外侧动脉和足背动脉及其伴行的的静脉为蒂,皮瓣内含有足背外侧皮神经可恢复受区的感觉;皮瓣的供区植皮修复。结果 移植的皮瓣全部成活,术后随访3-12个月,外观功能良好。结论 跗外侧动脉皮瓣修复拇甲瓣供区创面,具有成活率高、皮瓣薄不用二期修形等特点。Objective To explore the methods to close the donor defect of the great toe after wrap around flap transfer so as to keep function of the great toe as much as possible. Methods A lateral tarsal flap was used to close the great toe defect after wrap-around flap transfer in nine patients. The flap was a reverse flow flap. The foot dorsal artery and the lateral tarsal artery and their following veins were the base blood vessel of the flap. There were lateral cutaneous nerves in the flap that can resume the feeling of great toe. Results All the flaps of the nine cases survived. Postoperative follow-up for 3-12 months indicated both the appearance and function were good. Conclusion Lateral tasal artery flap to close the wound of the great toe after wrap-around flap transfer has lots of merits such as high survival and thin flap that does not need a secondary correction of the flank shape.

关 键 词：跗外侧动脉皮瓣 拇甲瓣 皮肤移植 修复外科手术 

分 类 号：R622.1[医药卫生—整形外科]