[足底内侧穿支动脉逆行岛状足背内侧神经皮瓣的临床应用]
[The clinical application of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps].
作者信息
Cui Li-Qun, Chen Jin-Gang, Zhang Ming, Zhao Wan-Chao, Ma Rui
机构信息
Department of Orthopedics, Dagang Hospital, Tianjin 300270, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2009 May;25(3):178-80.
OBJECTIVE
To explore the clinical effect of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps.
METHODS
12 cases with soft tissue defects of forefeet were treated by plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps. The flap size ranged from 3.0 cm x 3.5 cm to 5.5 cm x 8.5 cm.
RESULT
All flaps survived completely. The patients were followed up for 6 - 24 months. The texture and flexibility of the flaps were normal with no ulcer. The sensation improved with the two-point discrimination of 7 - 10 mm. The cosmetic and functional results were satisfactory. The wounds at donor site healed primarily.
CONCLUSIONS
The flaps have expanded size for large defects with good flexibility, thickness and texture. It is easily performed with less morbidity to main artery.
目的
探讨以足底内侧穿支动脉为蒂的逆行岛状足背内侧神经皮瓣的临床效果。
方法
采用以足底内侧穿支动脉为蒂的逆行岛状足背内侧神经皮瓣修复12例前足软组织缺损。皮瓣大小为3.0 cm×3.5 cm至5.5 cm×8.5 cm。
结果
所有皮瓣均完全成活。患者随访6～24个月。皮瓣质地及弹性正常，无溃疡形成。感觉功能改善，两点辨别觉为7～10 mm。外形及功能恢复满意。供区伤口一期愈合。
结论
该皮瓣可扩大面积以修复较大缺损，具有良好的弹性、厚度及质地。手术操作简便，对主要血管损伤小。
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