足外侧血管链在防治跟骨外侧“L”型切口皮肤坏死中的临床应用

高许斌; 池征璘; 官建中; 吴敏

doi:10.13898/j.cnki.issn.1000-2200.2019.02.005

足外侧血管链在防治跟骨外侧“L”型切口皮肤坏死中的临床应用

Clinical application of lateral vascular chain of foot in the prevention of cutaneous necrosis in lateral L-shaped incision of calcaneus

摘要

摘要:
目的探讨跟骨外侧“L”型切口皮瓣血供与血管链的关系，探寻安全的手术切口。
方法解剖5具尸体标本，了解足外侧“L”型切口皮瓣的血管链供应情况。选取跟骨骨折10例，根据尸体解剖的结果，均采用外侧扩大“L”型切口切开复位接骨板内固定治疗跟骨骨折病例，观察病人的切口皮肤愈合状况。
结果腓动脉和胫前动脉在足外侧形成的血管链是“L”型切口皮瓣的主要血供来源。10例扩大“L”型切口皮瓣均成活良好，无伤口坏死、感染。
结论保护足外侧血管链可以避免对“L”型切口皮瓣血供的破坏，可以减少跟骨骨折外侧“L”型切口术后切口愈合不良的发生。

Abstract:
ObjectiveTo explore the relationship between the blood supply of the lateral L-shaped incision flap of calcaneus and blood vessel chain, and probe the safe operative incision.
MethodsFive cadaver samples were dissected to understand the blood vessel chain of L-shaped incision flap.According to the autopsy results, 10 cases with calcaneus fractures were treated with enlarging lateral L-shaped incision of calcaneal combined with internal fixation of bone plate, and the incision healing of patients was observed.
ResultsThe lateral blood vessel chain formed by peroneal and anterior tibial arteries was the main source of blood supply of L-shaped incision flap.The survival of enlarging lateral L-shaped incision of calcaneus was good in all cases, and no necrosis and infection were found.
ConclusionsProtecting the lateral vessel chain of foot can avoid the damage of blood supply of L-shaped incision flap, and reduce the poor healing of lateral L-shaped incision of calcaneal.

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