足底内侧皮瓣经跟腱前转移修复中后足外侧皮肤软组织缺损  

Repair the lateral skin and soft tissue defect of the middle and rear foot wih the plantar medial flap transferred before the achilles tendon

作　　者：付繁刚 曲军杰 孙德麟[1] 戴学国[1] 李成立[1] 张锴[2] 徐林[1] 

机构地区：[1]滨州医学院烟台附属医院骨科,山东省烟台市264001 [2]滨州医学院附属医院创伤骨科

出　　处：《中华显微外科杂志》2016年第5期462-464,共3页Chinese Journal of Microsurgery

基　　金：国家自然科学基金项目（81470054）;烟台市科技攻关计划（Y20110214）

摘　　要：目的探讨修复中后足外侧皮肤软组织缺损的方法。方法自2012年1月至2015年10月，临床应用带胫后动脉血管蒂的足底内侧皮瓣经跟腱前隧道转移修复中后足外侧皮肤软组织缺损15例。术后定期对15例患者进行电话及回院随访3个月~3年，其中电话随访6例，回院随访9例，观察皮瓣的外观、功能及是否成活良好。结果15例移植皮瓣均成活良好。术后随访3个月~3年，转移皮瓣感觉良好，局部未见坏死，未见磨损、溃疡等发生，患足行走功能正常，患者对移植的皮瓣感到满意。结论带血管蒂足底内侧皮瓣经跟腱前隧道转移是修复中后足外侧皮肤软组织缺损的一种可行的新方法，具有感觉恢复快、外形美观及功能良好等优点。Objective To investigate the methods of repair the lateral skin and soft tissue defect of the middie and rear foot with the plantar medial flap transferred before the achilles tendon. Methods Fifteen cases with the lateral skin and soft tissue defect of the middle and rear foot were repaired with the plantar medial flap pedicled with posterior tibia artery transferred before the achilles tendon from January, 2012 to October, 2015. All the 15 patients were followed up in the way by telephone or back to hospital postoperatively 3 months to 3 years, including 6 cases by telephone follow-up and 9 cases of back-to-hospital follow-up, to observe the appearance, functions of the skin flap and whether the skin flap survived well. Results The flaps of 15 cases survived well. Postoperative followup of 3 months to 3 years, the sensation of the flap was good, without any ulcer or necrosis. The patients walked well and were satisfied with the flap. Conclusion To repair the lateral skin and soft tissue defect with the plantar medial flap transferred before the achilles tendon as a new method is feasible with the good ability of faster sensory recovery, the good appearance and function.

关 键 词：足底内侧皮瓣 跟腱 中后足 皮肤软组织缺损 

分 类 号：R658.3[医药卫生—外科学]