以踝前内侧动脉穿支为蒂的逆行筋膜皮瓣修复足背软组织缺损
[Reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot].
作者信息
Hu Qi-Wen, Wang Xue-Song, Xue Feng, Sun Wei-Fang, Shen Wan-Xiang, Zhao Jia-Yi
机构信息
Department of Orthopaedics, Zhoushan People's Hospital, Zhoushan 316004, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2009 May;25(3):184-6.
OBJECTIVE
To report the therapeutic effect of reverse fasciocutaneous flap pedicled with perforator branch of anterior medial malleolus artery for soft tissue defect on the dorsal side of foot.
METHODS
The perforator branch was located under the guidance of Doppler flowmeter. The flap was designed along the saphenous neurovascular axis. Then the flap was transferred reversely with the perforator branch as rotation point.
RESULTS
From Feb. 2002 to Mar. 2008, 12 cases were treated and followed up for 6 - 18 months. All the flaps survived completely. The flap size ranged from 13.5 cm x 3.0 cm to 8 cm x 3 cm. The perforator branch located at 0.5 - 1.5 cm anterior-inferior to the medial malleolus. Both the cosmetic and functional results were satisfactory.
CONCLUSIONS
The flap has a reliable blood supply and a flexible design. It is easily performed for soft tissue defect on the dorsal side of foot. It is a new type flap which combined neurocutaneous vascular flap with the perforator flap.
目的
报道以踝前内侧动脉穿支为蒂的逆行筋膜皮瓣修复足背软组织缺损的治疗效果。
方法
在多普勒血流仪引导下找到穿支。沿隐神经血管轴设计皮瓣。然后以穿支为旋转点逆行转移皮瓣。
结果
2002年2月至2008年3月，治疗12例，随访6～18个月。所有皮瓣均完全成活。皮瓣大小为13.5 cm×3.0 cm至8 cm×3 cm。穿支位于内踝前下方0.5～1.5 cm处。外形和功能效果均满意。
结论
该皮瓣血供可靠，设计灵活。用于修复足背软组织缺损操作简便。是一种将神经皮血管皮瓣与穿支皮瓣相结合的新型皮瓣。
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