足底内侧皮瓣游离移植修复足底创面  

Free medial plantar flap for reconstruction of plantar defects

作　　者：李丹[1] 惠瑞 韩岩[1] 

机构地区：[1]解放军总医院外科临床部整形修复科,北京100853 [2]Brigham and Women's Hospital, Neurosurgery Department, Harvard Medical School, Boston 02115 US

出　　处：《中华整形外科杂志》2017年第3期196-199,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探讨应用足底内侧皮瓣游离移植修复足底缺损的方法，最大限度重建足底功能和外形。方法本组共19例患者，年龄6-53岁，男16例，女3例；足跟缺损14例，前足部缺损5例。均利用对侧足底内侧皮瓣游离移植修复，对大面积创面则负重区采用皮瓣修复，非负重区以游离皮片覆盖。皮瓣修复面积为4．0cm×5．0cm～8．5cm×12．0am。结果术后皮瓣、肌瓣及移植皮片均成活良好，出院时外形较满意。术后9例获3～12个月随访，外形及功能均得到明显改善，无破溃，负重行走基本正常，皮肤感觉部分恢复。结论利用足底内侧皮瓣游离移植修复足底较大面积的缺损，重建足部外形良好，并可满足长期负重行走的功能要求。Objective To investigate the application of free medial plantar flap for reconstruction of plantar defects, so as to restore cosmetic and functional sole. Methods 19 Patients （16 males and 3 females） with soft tissue defects at the plantar feet, aged from 6 to 53 years old, were treated in our department, including 5 forefoot defects and 14 heel defects. Free medial plantar flaps at the eontraside were used to repair the defects. The size of the flap ranged from 4 cm ×5 cm to 6.5 cm × 12 cm. Results All the flaps and skin grafts survived without complications. Nine patients underwent follow-up for 3 to 12 months, the contour and walking function were satisfactory with no ulcers. Conclusions Free medial plantar flap for reconstruction of plantar defect provides a long-term favorable functional and aesthetic outcome, indicating its＂ feasibility and efficiency for weight-bearing plantar foot reconstruction.

关 键 词：外科皮瓣 游离皮瓣 足 

分 类 号：R658.3[医药卫生—外科学]