Chang K C, Lin H C, Chen T M, Wang H J
Zhonghua Yi Xue Za Zhi (Taipei). 1989 Feb;43(2):89-96.
The lateral calcaneal artery flap provides a simple and reliable option for reconstructing the posterior heel defect. In our 10 cases including 3 diabetic patients, there was no flap necrosis, but one had the problem of wound healing. In another case, the skin graft over the flap donor site failed to take. All patients have protective sensation on the flap area, and 7 ambulatory patients can engage in a normal daily activity. Numbness over the lateral foot does not cause any trouble. There are a lot of spoke injuries in our 6-million-motorcycle country. When the conservative treatments do not achieve a satisfactory result, the lateral calcaneal artery flap should be the best surgical intervention for the defect less than 5 cm in diameter with bone or tendon exposure.
跟外侧动脉皮瓣为足跟后部缺损的修复提供了一种简单可靠的选择。在我们的10例患者中，包括3例糖尿病患者，未出现皮瓣坏死，但有1例存在伤口愈合问题。在另一例中，皮瓣供区的皮肤移植未成活。所有患者皮瓣区域均有保护性感觉，7例能行走的患者可进行正常日常活动。足外侧麻木未造成任何困扰。在我们这个拥有600万辆摩托车的国家，有很多辐条伤。当保守治疗效果不佳时，对于直径小于5 cm且有骨或肌腱外露的缺损，跟外侧动脉皮瓣应是最佳的手术干预方式。
