Xu Gong, Lai-Jin Lu
Department of Hand Surgery, The first hospital of Ji Lin University, Chang Chun 130021, PR China.
J Plast Reconstr Aesthet Surg. 2008;61(5):575-7. doi: 10.1016/j.bjps.2006.02.003. Epub 2007 Mar 9.
Skin defects over the foot and ankle remain a challenge to plastic surgeons. The distally based sural neurocutaneous flap is a reliable and effective procedure. The authors have performed 21 cases (22 flaps) since 2000. Twenty-one flaps survived uneventfully. The recipient range included the dorsum of the foot, heel and forefoot. The texture, thickness and colour were satisfactory although pressure ulcers occurred on flaps over the weight-bearing region, such as sole. The factors that influence the survival of the flap are the width of the pedicle, ligation of the lesser saphenous vein and complete vascular network around the ankle.
足部和踝部的皮肤缺损对整形外科医生来说仍然是一项挑战。以远端为蒂的腓肠神经营养皮瓣是一种可靠且有效的手术方法。自2000年以来，作者共实施了21例手术（22个皮瓣）。21个皮瓣均顺利存活。受区范围包括足背、足跟和前足。尽管在负重区域（如足底）的皮瓣上出现了压疮，但皮瓣的质地、厚度和颜色均令人满意。影响皮瓣存活的因素包括蒂的宽度、小隐静脉的结扎以及踝关节周围完整的血管网络。
