Koshima Isao, Narushima Mitsunaga, Mihara Mokoto, Nakai Ikuo, Akazawa Satoshi, Fukuda Norio, Watanabe Yorikatsu, Nakagawa Masahiro
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Ann Plast Surg. 2007 Nov;59(5):558-62. doi: 10.1097/SAP.0b013e3180315528.
Three cases in which island medial plantar artery perforator flaps were successfully transferred for coverage of the plantar defects are described. This perforator flap is different from the medial plantar flap based on the medial plantar artery. The flap has no fascial component and is nourished only with the perforator of the medial plantar vessel. Therefore, transection of the medial plantar artery is usually unnecessary. This flap can cover defects on the forefoot and heel without transaction of the medial plantar system. The advantages of this flap are no need for deep or long dissection for the medial plantar vessel, no exposure of the plantar sensory nerve, a short time for flap elevation, minimal donor-site morbidity, relatively large flap survival, and no damage of both the posterior tibial and medial plantar neurovascular systems.
本文描述了3例采用足底内侧动脉穿支皮瓣成功转移修复足底缺损的病例。该穿支皮瓣与基于足底内侧动脉的足底内侧皮瓣不同。该皮瓣没有筋膜成分，仅由足底内侧血管的穿支供血。因此，通常无需切断足底内侧动脉。该皮瓣无需切断足底内侧系统即可覆盖前足和足跟的缺损。该皮瓣的优点包括无需对足底内侧血管进行深部或长时间解剖、不暴露足底感觉神经、皮瓣掀起时间短、供区并发症少、皮瓣存活面积相对较大，且不损伤胫后和足底内侧神经血管系统。
