腓动脉嵌合腓骨瓣移植重建单足多跖骨及软组织缺损一例  

Reconstruction of multiple metatarsus and soft tissue defects with fibular flap and fibular artery chimeric:A case report

作　　者：林乾 郑晓菊 王新宏 李海军 张忠 LIN Qian;ZHENG Xiaoju;WANG Xinhong;LI Haijun;ZHANG Zhong(Department of Hand and Foot Microsurgery,Xi’an Fengcheng Hospital,Xi’an 710016,China)

机构地区：[1]西安凤城医院手足显微外科,西安710016

出　　处：《中华显微外科杂志》2022年第5期590-592,共3页Chinese Journal of Microsurgery

摘　　要：2019年5月,西安凤城医院手足显微外科收治1例左足部多发跖骨伴软组织缺损患者,通过腓动脉嵌合折叠腓骨瓣方式一期重建多跖骨、足部前横弓及软组织缺损。术后2年随访,重建足弓弧度完好无塌陷,无关节炎病变,跖骨高度、弧度及宽度与健侧接近,皮瓣及足底皮肤光滑无磨损及破溃,行走、跑步及单足负重无障碍,能够继续从事重体力工作。In May 2019,a patient who suffered with multiple foot metatarsus injury with soft tissues defect was treated in the Hand and Foot Microsurgery of Xi'an Fengcheng Hospital,by using chimeric peroneal artery for phase-1 reconstruction of metatarsus with folded fibular flap,foot cross arch and soft tissue defects.After 2 years,the arch of foot as intact without collapse.There was no arthritic lesions.The height,arc and width of metatarsus were very close to the healthy side.The flap and plantar were smooth without abrasion and ulceration.The patient could walk,run and stand with single-foot stand,and able to carry out heavy physical work continuously.

关 键 词：腓动脉 腓骨瓣 嵌合移植 多跖骨 前横弓缺损 重建 

分 类 号：R658.3[医药卫生—外科学]