Clements J Randolph, Mierisch Cay, Bravo Cesar J
Carilion Clinic, Virginia Tech-Carilion School of Medicine, Roanoke, VA 24014, USA.
J Foot Ankle Surg. 2012 Jan-Feb;51(1):118-22. doi: 10.1053/j.jfas.2011.10.022. Epub 2011 Nov 13.
Extensive soft tissue and osseous defects of the foot are difficult to manage and often result in amputation. Most of these wounds are created by trauma, but other causes, such as infection and malignancy, can create similar defects. A variety of wound management options exist for the treatment of these challenging wounds, including negative pressure wound therapy, autogenous skin grafting, and the use of skin substitutes, as well as internal and external fixation methods. In the present report, we describe the use of a free osteocutaneous radial forearm flap to manage a 10-cm × 5-cm dorsal soft tissue defect and a 2.5-cm second metatarsal diaphyseal defect in an adult male.
足部广泛的软组织和骨缺损难以处理，常导致截肢。这些伤口大多由创伤引起，但其他原因，如感染和恶性肿瘤，也可造成类似的缺损。对于这些具有挑战性的伤口，有多种伤口处理方法可供选择，包括负压伤口治疗、自体皮肤移植、使用皮肤替代物以及内固定和外固定方法。在本报告中，我们描述了使用游离桡骨前臂骨皮瓣治疗一名成年男性10厘米×5厘米的足背软组织缺损和2.5厘米的第二跖骨干缺损。
