Gu Jia-Xiang, Huan An-Shi, Zhang Nai-Chen, Liu Hong-Jun, Xia Shi-Cong, Regmi Subhash, Yang Lin
Surgeon, Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College, Yangzhou University, Yangzhou, People's Republic of China.
Postgraduate Student, College of Medicine, Yangzhou University, Yangzhou, People's Republic of China.
J Foot Ankle Surg. 2017 Mar-Apr;56(2):226-229. doi: 10.1053/j.jfas.2016.11.022. Epub 2017 Jan 23.
We report our clinical experience with 11 cases of heel soft tissue defects treated with a medial plantar artery island pedicle flap. We also evaluated the functional outcomes of reconstruction. We enrolled 11 patients (10 [90.9%] males and 1 [9.1%] female), who received a medial plantar artery island pedicle flap for heel soft tissue defects from August 2010 to July 2014. The cause of the defects included trauma (post-traumatic heel skin necrosis) in 2 (18.2%) patients, infection (calcaneal osteomyelitis with overlying soft tissue infection) in 2 (18.2%) patients, and tumor (stage IA melanoma) in 7 (63.6%) patients. The mean average size of the defect was 3.7 cm × 4.4 cm (range 3.1 cm × 4.0 cm to 4.5 cm × 5.5 cm). The mean follow-up period was 19.6 (range 8 to 35) months, and all flaps survived within that period. The mean static 2-point discrimination was 34.4 (range 29 to 40) mm at the heel and 17.2 mm at the distal sole. The mean visual analog scale score for the aesthetic appearance of the reconstructed heel was 9 (range 8 to 9.5). The average revised Foot Function Index score was 25.8 (range 21 to 37). The medial plantar artery island pedicle flap is a versatile and effective method for reconstructing heel soft tissue defects.
我们报告了应用足底内侧动脉岛状蒂皮瓣治疗11例足跟软组织缺损的临床经验。我们还评估了重建后的功能结果。我们纳入了11例患者（10例[90.9%]男性和1例[9.1%]女性），他们在2010年8月至2014年7月期间接受了足底内侧动脉岛状蒂皮瓣修复足跟软组织缺损。缺损原因包括创伤（创伤后足跟皮肤坏死）2例（18.2%）、感染（跟骨骨髓炎伴软组织感染）2例（18.2%）、肿瘤（IA期黑色素瘤）7例（63.6%）。缺损的平均大小为3.7 cm×4.4 cm（范围为3.1 cm×4.0 cm至4.5 cm×5.5 cm）。平均随访期为19.6个月（范围8至35个月），在此期间所有皮瓣均存活。足跟处平均静态两点辨别觉为34.4 mm（范围29至40 mm），足底远端为17.2 mm。重建足跟美学外观的平均视觉模拟量表评分为9分（范围8至9.5分）。修订后的足部功能指数平均评分为25.8分（范围21至37分）。足底内侧动脉岛状蒂皮瓣是修复足跟软组织缺损的一种通用且有效的方法。
