Rautio J, Hämäläinen H, Kekoni J
Abteilung für Plastische Chirurgie, Universitätskrankenhaus Helsinki.
Handchir Mikrochir Plast Chir. 1992 Jul;24(4):182-6.
Thirty patients suffering from defects of the weight-bearing areas of the sole and heel were analyzed employing various methods. Sensibility was analyzed quantitatively. The level of sensibility of the flaps was found to be variable, but it had no effect on soft-tissue stability. Sensory recovery in the flaps was slow and unpredictable. Gait analysis showed that patients supplied with footwear walked relatively symmetrically even though there was a tendency to protect the flap by decreased weight-bearing. Postural control as analyzed by a sway plate was impaired only in patients with flaps having very poor sensibility. Thin skin flaps were found to be most suitable for degloving defects and muscle flaps with split-skin coverage for deep defects. The scapular flap was often too thick and was prone to develop superficial ulcerations on the weight-bearing areas.
采用多种方法对30例足底和足跟负重区存在缺损的患者进行了分析。对感觉进行了定量分析。发现皮瓣的感觉水平存在差异，但对软组织稳定性没有影响。皮瓣的感觉恢复缓慢且不可预测。步态分析表明，尽管有通过减少负重来保护皮瓣的倾向，但穿着鞋具的患者行走相对对称。通过摇摆板分析的姿势控制仅在皮瓣感觉非常差的患者中受损。发现薄皮瓣最适合用于脱套伤缺损，而带分层皮覆盖的肌皮瓣适合用于深部缺损。肩胛皮瓣通常太厚，在负重区容易出现浅表溃疡。
