Lin S D, Chou C K, Yang C C, Lai C S
Division of Plastic and Reconstructive Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan.
Br J Plast Surg. 1991 Feb-Mar;44(2):109-12. doi: 10.1016/0007-1226(91)90042-i.
Two cases with extensive plantar avulsion injuries had their heel defects resurfaced initially with full thickness skin grafts. Two months later, reinnervation presented in areas of grafted skin innervated by medial and lateral plantar nerves. No reinnervation was found in the plantar heel region originally innervated by the medial calcaneal nerve. Heel ulceration in the non-sensate, grafted skin occurred in the first case. Reinnervated, skin-grafted flexor digitorum brevis muscle flaps were then used for reconstructing the non-sensate plantar heels. There was no breakdown of skin during the follow-up period of 8 months and 6 months respectively. This method provides sensate and durable cover for extensive plantar heel defects.
两例足底广泛撕脱伤患者最初采用全厚皮片覆盖足跟缺损。两个月后，由足底内侧和外侧神经支配的移植皮肤区域出现了神经再支配。在最初由跟内侧神经支配的足底足跟区域未发现神经再支配。第一例患者移植的无感觉皮肤出现足跟溃疡。然后使用经神经再支配的、移植了皮肤的趾短屈肌皮瓣来重建无感觉的足底足跟。在分别为8个月和6个月的随访期内，皮肤均未出现破溃。该方法为广泛的足底足跟缺损提供了有感觉且持久的覆盖。
