Gould J S
Orthopedics. 1987 Jan;10(1):151-7. doi: 10.3928/0147-7447-19870101-27.
Microsurgical reconstruction for injuries of the foot and ankle includes, in addition to repair of small nerves, vessels, and tendons, coverage of soft tissue defects. Local transpositional and island pedicle flaps are ideal when available and adequate. The choice of free vascularized flaps is based on its potential durability, contour, bulk, and appearance. Thin cutaneous flaps, fascial flaps, and muscle flaps covered with split thickness skin grafts are appropriate in specific areas. Neurosensory flaps and methods of reinnervation may have a place in extensively denervated feet. Good postoperative pedorthic care aids in the final outcome.
足踝部损伤的显微外科重建除了修复小神经、血管和肌腱外，还包括软组织缺损的覆盖。当局部转位皮瓣和岛状蒂皮瓣可用且足够时，它们是理想的选择。游离血管化皮瓣的选择基于其潜在的耐用性、外形、体积和外观。薄皮瓣、筋膜瓣以及覆盖有断层皮片的肌瓣在特定区域是合适的。神经感觉皮瓣和再植神经方法在广泛去神经支配的足部可能有一席之地。术后良好的足部矫形护理有助于最终结果。
