Russell R C, Vitale V, Zook E C
Division of Plastic and Reconstructive Surgery, Southern Illinois University School of Medicine, Springfield 62702.
Ann Plast Surg. 1986 Jul;17(1):65-72. doi: 10.1097/00000637-198607000-00012.
Foot skin can be used in traumatic nonreplantable leg amputations as an immediate neurovascular free flap for proximal stump reconstruction. The thick, glabrous skin on the sole of the foot provides durable, sensate coverage. The flap is large, avoids a secondary donor site, and can survive on either the dorsalis pedis or posterior tibial artery if one preserves the connecting deep plantar branch of the dorsalis pedis artery. Two cases of immediate stump reconstruction using the "fillet of sole" flap are presented.
足部皮肤可用于创伤性不可再植的小腿截肢，作为近端残端重建的即时游离神经血管皮瓣。足底厚实、无毛的皮肤可提供持久、有感觉的覆盖。该皮瓣面积大，避免了二次供区，并且如果保留了足背动脉的连接性足底深支，则可依靠足背动脉或胫后动脉存活。本文介绍了两例使用“足底鱼片”皮瓣进行即时残端重建的病例。
