“洋镐头”样腓肠神经营养血管皮瓣在外伤性足跟软组织缺损中的应用  

Application of"pickaxe"pattern peroneal nerve nutrient vascular flap in the repair of traumatic soft tissue defects of the calcaneus

作　　者：谢沛霖[1] 林沛婷 赵琳 叶明敏 卢俊阳 XIE Peilin;LIN Peiting;ZHAO Lin;YE Mingmin;LU Junyang(Department of Plastic Surgery,Gansu Provincial Hospital,Lanzhou 730000,China)

机构地区：[1]甘肃省人民医院整形外科,甘肃兰州730000

出　　处：《中国美容整形外科杂志》2024年第7期415-417,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：甘肃省科技计划项目自然科学基金(23JRRA1763);兰州市青年科技人才创新项目(2023-QN-193);甘肃省人民医院院内科研基金项目临床研究类项目(23GSSYD-27)。

摘　　要：目的 探讨应用“洋镐头”样腓肠神经营养血管皮瓣修复外伤性足跟软组织缺损的临床疗效。方法 回顾性分析自2018年1月至2023年6月,甘肃省人民医院整形外科收治的18例外伤性足跟软组织“U”形缺损患者,根据创面形状,在足外踝至跟腱连线中点,向上6 cm处为旋转点设计“洋镐头”样带腓肠神经营养血管的皮瓣,逆行修复足跟软组织缺损创面并进行足跟再造。结果 18例患者所有皮瓣全部成活,随访6~12个月,足跟负重行走及耐磨能力完全能够达到患者日常生活需要。结论 “洋镐头”样腓肠神经营养血管皮瓣可以根据外伤后足跟软组织的形状个体化设计,达到修复创面、再造及重建足跟功能的目的。Objective To investigate the clinical efficacy of using a"pickaxe"pattern peroneal nerve nutrient vascular flap in the repair of traumatic soft tissue defects of the calcaneus.Methods From January 2018 to June 2023,Department of Plastic Surgery,Gansu Provincial Hospital admitted 18 patients with traumatic soft tissue defects of the calcaneus admitted.According to the shape of the wound,a"pickaxe"pattern peroneal nerve nutrient vascular flap was designed at a point 6cm above the midpoint of the line connecting the ankle and Achilles tendon to perform reverse repair of the soft tissue defect and reconstruction of the heel.Results All flaps survived completely.After a follow-up of 6~12 months,the weight-bearing walking and wear resistance of the heel were fully restored to meet the patients daily life needs.Conclusion The"pickaxe"pattern peroneal nerve nutrient vascular flap can be individualized designed based on the shape of the soft tissue defect of the calcaneus after trauma,achieving the goals of wound repair,reconstruction,and restoration of heel function.

关 键 词：腓肠神经营养血管皮瓣 修复 足跟 缺损 

分 类 号：R658.3[医药卫生—外科学]