Kilinc Hidir, Bilen Bilge Turk, Arslan Ahmet
Department of Plastic Surgery, Inonu University, Medical Faculty, Malatya, Turkey.
Ann Plast Surg. 2006 Oct;57(4):396-401. doi: 10.1097/01.sap.0000237573.63778.bb.
Soft tissue coverage of the ankle is a difficult challenge. The adipofascial flap based on perforators of the anterior tibial artery was harvested from the dorsum of the foot and used for repairing of soft tissue defects either on the lateral or medial malleolar region in 7 patients. Two medial and 5 lateral malleolar defects were covered using the flap described. The size of flaps varied from 3.5 x 10 cm to 4.5 x 12 cm. All flaps had good perfusion and survived completely. Donor-site morbidity was minimal in all cases. Both functional and esthetical results were satisfactory. Because of thin and pliable features, this flap is suitable for repair of defects around the ankle region. In addition, donor-site morbidity of this flap is minimal, with an acceptable scar hidden in the shoe-wearing area.
踝关节的软组织覆盖是一项艰巨的挑战。基于胫前动脉穿支的脂肪筋膜瓣取自足背，用于修复7例患者内、外踝区域的软组织缺损。使用所述皮瓣覆盖了2例内侧和5例外侧踝部缺损。皮瓣大小从3.5×10厘米到4.5×12厘米不等。所有皮瓣血运良好，全部存活。所有病例供区并发症均极少。功能和美学效果均令人满意。由于该皮瓣薄且柔韧，适合修复踝周区域的缺损。此外，该皮瓣供区并发症极少，隐蔽在穿鞋区域的瘢痕可接受。
