Maruyama Y, Iwahira Y, Ebihara H
Department of Plastic and Reconstructive Surgery, Toho University School of Medicine, Tokyo, Japan.
Plast Reconstr Surg. 1990 May;85(5):759-64. doi: 10.1097/00006534-199005000-00017.
A V-Y advancement pedicle flap including fascia has been used for reconstruction of soft-tissue defects of the posterior heel and ankle region. This flap has been used to cover 17 defects in 16 patients ranging in age from 4 to 58 years, and results have been good. We limited this application to patients without systemic disease and under 60 years of age and did not apply it to the elderly, debilitated, or systemic vascular damaged patients. There were no complications or loss of overlying skin, with the exception of one superficial tip necrosis of the flap. The results indicate the reliability and usefulness of this procedure in coverage of the posterior heel and ankle regions. It is a relatively quick and simple procedure that is without a free skin graft, and it involves only one stage that adequately corrects the skin defect at the posterior heel and ankle without prolonged splintings and results in negligible deformity of the donor site.
包含筋膜的V-Y推进带蒂皮瓣已用于足跟后部和踝关节区域软组织缺损的重建。该皮瓣已用于覆盖16例年龄在4岁至58岁之间患者的17处缺损，效果良好。我们将此应用限于无全身性疾病且年龄在60岁以下的患者，未将其应用于老年、体弱或全身性血管受损的患者。除皮瓣尖端一处浅表坏死外，无并发症或覆盖皮肤丢失。结果表明该手术在足跟后部和踝关节区域覆盖方面的可靠性和实用性。这是一种相对快速且简单的手术，无需游离皮片移植，仅涉及一个阶段，能充分矫正足跟后部和踝关节处的皮肤缺损，无需长时间使用夹板，供区畸形可忽略不计。
