腓肠浅动脉筋膜蒂皮瓣修复膝关节外露创面应用体会

Repair of the exposed wound of knee joint with superficial sural artery fascia island flap

摘要: 目的:探讨外侧腓肠浅动脉筋膜蒂皮瓣修复膝关节外露创面效果。方法:采用外侧腓肠浅动脉筋膜蒂岛状皮瓣修复膝关节外露创面6例,供区游离植皮修复。结果:术后6例皮瓣全部成活,经1~6个月随访,膝关节外形及功能均恢复正常。结论:外侧腓肠浅动脉筋膜蒂皮瓣修复膝关节外露创面,不损伤知名血管,取得了修复区和供皮区一期修复的良好效果,并保证了术后修复区的良好功能,是一种比较理想的手术方法。

Abstract: Objective: To explore the application of lateral superficial sural artery fascia island flap to restore the exposed wound of knee joint.Methods: Six cases of exposed wound of knee joint were repaired using the lateral superficial sural artery fascia island flap.The supplying region was repaired by skin grafting.Results: All the 6 flaps were survived.The follow-up lasted for one to six months,and the appearance and function of the knee joints recovered completely.Conclusions: Repair of the the exposed wound of knee joint with lateral superficial sural artery fascia island flap does not injure the known veins,and reaches good results for primary repair of both the supplying region and the accepting region,which guarantees the function of the acceptor site.It is an ideal procedure.