足底内侧岛状皮瓣在足跟皮肤软组织缺损修复中的应用

Repair of heel tissue defects with medialis flap from the sole of foot

摘要: 目的:探讨足底内侧动脉深支为蒂皮瓣修复足跟软组织缺损的临床应用效果。方法:应用4 cm×5 cm~10 cm×8 cm足底内侧动脉深支为蒂皮瓣修复7例外伤或烧伤患者足跟软组织缺损,足底供瓣区采用游离植皮,一期完成手术观察其临床效果。结果:7例移植皮瓣后均一期成活,皮瓣痛、温、触觉正常。结论:足底内侧动脉深支皮瓣修复足跟软组织缺损手术简单,疗效显著,无任何并发症,是一种较好的治疗方法。

Abstract: Objective: To explore the effect of free flap pedicled with ramus profundus arteriae plantaris medialis in repairing heel tissue defetcs.Methods: The flap pedicled with ramus profundus arteriae plantaris medialis with an area of 10 cm×8 cm to 4 cm×5 cm was used to repair the heel tissue defets of seven patients who were injured or burned and the clinical effects were observed;the skin grafting was completed at the same time.Results: The flaps of all the seven patients survived and the senses of feeling recovered.Conclusions: It is an ideal procedure to repair the heel tissue defets with flap pedicled with ramus profundus arteriae plantaris medialis,which has the advantages of simple operation,definite effect and fewer complications.