腓骨短肌肌瓣逆行转位修复外踝及跟腱软组织缺损  

Repair of soft tissue defects on the lateral malleolus and Achilles tendon with translocated peroneus brevis muscle flap for coverage

作　　者：杨连根[1] 张增方 安小刚[1] 娄宏亮[1] 韩守江[1] 李晓东[1] 

机构地区：[1]河北省邯郸市峰峰矿务局总医院骨科,056200 [2]山东省青岛市骨伤医院骨科,266021

出　　处：《中华创伤骨科杂志》2004年第6期641-643,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的介绍一种简单有效的修复外踝及跟腱处软组织缺损的方法。方法设计腓骨短肌肌瓣逆行转位修复外踝及跟腱处软组织缺损创面。中厚皮片移植覆盖肌瓣。结果7例外踝及跟腱处软组织缺损合并骨、跟腱外露病例。缺损面积最大5cm×6cm,最小3cm×4cm。术后伤口Ⅰ期愈合,肌瓣全部成活。结论腓骨短肌肌瓣逆行转位修复外踝、跟腱处软组织缺损,此方法简单、并发症少、成功率较高,尤其适用于中小创面。Objective To introduce a valuable new method for coverage of the soft tissue defects on the lateral malleolus and Achilles tendon. Methods The peroneus brevis muscle flaps were translocated reversely for repair of the soft tissue defects on the lateral malleolus and Achilles tendon. Intermediately split thickness skin grafting was done to cover the flap. Results The peroneus brevis muscle flaps were applied for coverage of the soft tissue defects in 7cases, 5 males and 2 females. The largest area of the soft tissue defect was 5cm×6cm, and the smallest one was 3cm×4cm. The incisions of 7 cases healed at first stage, and all the muscle flaps survived. No necrosis occurred. Conclusion This simple technique results in few complications and high successful rates, and it is recommendable especially for the repair of soft tissue defects of small or moderate area.

关 键 词：腓骨短肌肌瓣 外踝 跟腱 软组织缺损 

分 类 号：R658[医药卫生—外科学]