Ozcan Akcal Arzu, Ünal Kerim, Gorgulu Tahsin, Akif Akcal Mehmet, Bigat Zekiye
Medical Faculty, Department of Plastic and Reconstructive Surgery, Akdeniz University, Antalya, Turkey.
Medical Faculty, Department of Plastic and Reconstructive Surgery, Bulent Ecevit University, Zonguldak, Turkey.
Microsurgery. 2016 Oct;36(7):598-603. doi: 10.1002/micr.30099. Epub 2016 Oct 13.
In this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 × 8 cm medial plantar and 6 × 4 cm dorsal foot defects and the second case, a 55 years old female, had only 8 × 6 cm dorsal foot defect. In both cases the defects were associated with fractures, one with lateral cuneiform and cuboid with 90% bone loss and the other with navicular bone, respectively. After 6 months, the patients could walk well without support, and radiographs confirmed bony union. A chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap may be used for the reconstruction of combined bony and soft tissue defects of the midfoot and to promote bone healing. © 2016 Wiley Periodicals, Inc. Microsurgery 36:598-603, 2016.
在本报告中，我们介绍了两例与枪伤相关的中足缺损病例，采用嵌合部分肩胛骨和背阔肌肌皮瓣以及基于短穿支的皮瓣进行重建。第一例为一名14岁男性，足底内侧有10×8 cm缺损，足背有6×4 cm缺损；第二例为一名55岁女性，仅有8×6 cm足背缺损。两例缺损均伴有骨折，一例为外侧楔骨和骰骨骨折，骨缺损90%，另一例为舟骨骨折。6个月后，患者无需支撑即可行走良好，X线片证实骨愈合。嵌合部分肩胛骨和背阔肌肌皮瓣以及基于短穿支的皮瓣可用于重建中足合并的骨与软组织缺损，并促进骨愈合。© 2016威利期刊公司。显微外科学36:598 - 603，2016年。
