腓动脉穿支蒂螺旋桨皮瓣修复足踝部软组织缺损  

Repairing ankle and foot injuries with perforator-based propeller flaps

作　　者：刘建[1] 黄凯[1] 沈立峰[1] 王健[1] 郭峭峰[1] 

机构地区：[1]浙江省立同德医院,浙江杭州310012

出　　处：《中国骨伤》2016年第12期1088-1091,共4页China Journal of Orthopaedics and Traumatology

基　　金：浙江省中医药科技计划基金资助项目(2011ZA005)~~

摘　　要：目的 :探讨腓动脉穿支蒂螺旋桨皮瓣修复足踝部软组织缺损的临床疗效。方法:自2012年6月至2014年4月,采用腓动脉穿支蒂螺旋桨皮瓣治疗足踝部软组织缺损患者20例,其中男14例,女6例;年龄8~64岁,平均(36.2±4.6)岁;缺损面积5 cm×2 cm^22 cm×7 cm。损伤至手术时间8~90 d,平均(38.2±6.2)d。末次随访时采用美国足踝外科学会(AOFAS)踝-后足评分进行临床疗效评价。结果:20例均获随访,时间6~24个月,平均(13.5±2.2)个月。皮瓣外观及质地良好。手术时间90~210 min,平均(120±32)min。19例皮瓣全部存活,1例出现皮瓣部分坏死予再次清创植皮术后治愈。末次随访时AOFAS评分为(93.1±10.0),其中优14例,良6例。结论:腓动脉穿支蒂螺旋桨皮瓣治疗足踝部软组织缺损安全有效,临床疗效满意。Objective：To evaluate clinical effects of repairing ankle and foot injuries with perforator based propeller flaps.Methods：From June 2012 to April 2014,20 patients with soft tissue defects on the foot and ankle were treated by perforator based propeller flaps,including 14 males and 6 females with an average age of（36.2±4.6） years old ranging from 8 to 64 years.Area of soft tissue defect varied from 5 cm×2 cm to 22 cm×7 cm. The time from injury to operation ranged from 8 to 90 days,with an average of（38.2±6.2） days. AOFAS scoring were applied to evaluate therapeutic effects. Results：All patients were followed up from 6 to 24 months with an average of（13.5±2.2） months. Appearance and quality of flap were good. Operation time was 90 to 210 min,with an average of（120±32） min. Nineteen flaps were survived successfully,the flap edge of 1 case was necrosis and healed after free skin grafting. A good contour was confirmed on the recipient area. The total AOFAS score was（93.1±10.0） at the final following up,14 cases obtained excellent results and 6 cases were good. Conclusion：Perforator based propeller flaps for ankle and foot injuries has advantages of safe,effectivity and could receive good results.

关 键 词：穿支皮瓣 软组织缺损 足 踝 

分 类 号：R685[医药卫生—骨科学]