Chen Xue-Song, Xu Yong-Qing, Chen Jian-Ming, Wang Yuan-San, Guan Li, Yu Xiao-Jun, Xu Jian-Ming, Li Yan-lin
Department of Orthopedics, First Affiliated Hospital of Kunming Medical Uuiversity, Kunming 650032, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Sep;29(5):345-8.
To report the operative techniques and clinical results of modified superficial peroneal neurocutaneous propeller adipofascial-cutaneous flap for reconstruction of donor site defects at foot dorsum.
A propeller adipofascial flap with a skin pedicle (4-6 cm in width) based on the lateral superamalleolar perforating artery which vascularized the flap through the nutrient vessel chain of the superficial peroneal nerve was designed to repair defects after harvesting of foot pedicled dorsal flap. The defects at donor site of the leg was closed directly and split-thickness skin grafting was performed on the adipofascial surface of the flap primarily or secondarily.
From May 2007 to Oct. 2011, 7 cases were treated. All flaps were transplanted successfully with satisfactory cosmetic and functional results. The flaps size ranged from 19 cm x 8 cm to 30 cm x 11 cm.
The flap has reliable blood supply with a relatively large vascularized area, long rotation are and minimum donor-site cosmetic morbidity. It' s a simple and safe procedure which is suitable for covering donor sites defects after harvesting foot pedicled dorsal flap.
报道改良腓浅神经营养血管推进皮瓣修复足背供区创面的手术方法及临床效果。
设计以踝外上穿支动脉为蒂、宽度为4-6cm的含皮蒂推进脂肪筋膜瓣，通过腓浅神经的营养血管链为皮瓣供血，用于修复足背带蒂皮瓣切取后的供区创面。供区创面直接缝合，皮瓣脂肪筋膜面一期或二期行刃厚皮片移植。
2007年5月至2011年10月，共治疗7例。所有皮瓣均移植成功，外观及功能满意。皮瓣大小为19cm×8cm至30cm×11cm。
该皮瓣血供可靠，供血面积较大，旋转弧长，供区美观度受损小。手术操作简单、安全，适合修复足背带蒂皮瓣切取后的供区创面。
