Liu K, Li Z, Lin Y, Cao Y
Department of Orthopedic Surgery, Third Teaching Hospital, Changchun, Jilin, People's Republic of China.
Plast Reconstr Surg. 1990 Aug;86(2):312-6; discussion 317-8.
Based on anatomic, dye injection, and angiography observations since 1984, 72 patients with tissue defects of the foot (due to injury or surgery) have been reconstructed using a reverse-flow posterior tibial artery island flap. In the 72 patients, etiology has included extensive crushing (40 patients), burn scars (10 patients), and tissue loss following tumor or chronic ulcer resection (22 patients). Only two flaps developed necrosis. The survival rate was 97.2 percent, including seven cases of distal marginal necrosis. This procedure, therefore, offers a useful alternative in the repair and reconstruction of extensive tissue defects in the foot, whether caused by accidental injury or surgery.
自1984年以来，基于解剖学、染料注射及血管造影观察，采用逆行胫后动脉岛状皮瓣对72例足部组织缺损（因创伤或手术所致）患者进行了修复。这72例患者的病因包括广泛挤压伤（40例）、烧伤瘢痕（10例）以及肿瘤或慢性溃疡切除术后的组织缺损（22例）。仅2例皮瓣发生坏死。成活率为97.2%，其中包括7例远端边缘坏死。因此，无论足部广泛组织缺损是由意外伤害还是手术引起，该手术方法都为修复和重建提供了一种有效的选择。
