[应用足外侧岛状筋膜瓣修复足跟软组织缺损]
[Repair of soft tissue defect on heel with island-shaped fascial flap of lateral foot].
作者信息
Pu X H, Zhang H
机构信息
Department of Orthopedic Surgery, First Affiliated Hospital of Lanzhou Medical College, Lanzhou, Gansu, P. R. China 730000.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1999 May;13(3):167-9.
OBJECTIVE
To research the result of defect repairing on heel with island-shaped fascial flap of lateral foot.
METHODS
Twelve cases of soft tissue defected on heel, who were resulted from trauma, chronic ulcer, chronic osteomyelitis, squamous carcinoma, and necrosis following frozen injury, were treated by transfer of island-shaped fasical flap of lateral foot.
RESULTS
Only 2 patients suffered marginal necrosis of flap in early stage and healed after changing dressing. The others succeeded completely. All the cases were followed up for 8 to 78 months. There was no recurrence of squamous carcinoma, no fistula or necrosis bone formed. The sensation of the flap recovered. The repaired area was similar to the heel in skin texture.
CONCLUSION
For the characteristics of heel skin, the transfer of island-shaped fascial flap of lateral foot has the following advantages: Similar structure of skin, reliable nerve and blood supply, simple operative techniques, and large area of donor flap.
目的
探讨采用足外侧岛状筋膜瓣修复足跟部缺损的效果。
方法
对12例因外伤、慢性溃疡、慢性骨髓炎、鳞状细胞癌、冻伤后坏死等导致足跟部软组织缺损的患者，采用足外侧岛状筋膜瓣转移修复。
结果
仅2例患者早期出现皮瓣边缘坏死，经换药后愈合。其余患者均完全成功。所有病例随访8至78个月。鳞状细胞癌无复发，未形成瘘管或坏死骨。皮瓣感觉恢复。修复区域皮肤质地与足跟相似。
结论
由于足跟皮肤的特点，足外侧岛状筋膜瓣转移具有以下优点：皮肤结构相似、神经和血供可靠、手术操作简单、供瓣面积大。
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