Jin W H, Chang S S, Wei Z R, Li H, Zhou J, Chen W, Sun G F, Tang X J, Wang B
Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China.
Zhonghua Shao Shang Za Zhi. 2019 Mar 20;35(3):218-220. doi: 10.3760/cma.j.issn.1009-2587.2019.03.010.
To explore the clinical effects of heel lateral flap in repair of skin and soft tissue defects at posterior heel region. From September 2007 to April 2016, 24 patients (17 males and 7 females, aged 16-70 years) with skin and soft tissue defects at posterior heel region were admitted to our department. The size of skin and soft tissue defects after debridement ranged from 3.0 cm×2.0 cm to 5.0 cm×4.0 cm. The defects were repaired with heel lateral flaps, with size ranging from 3.5 cm×2.5 cm to 6.0 cm×5.0 cm. The flaps were transferred to the donor sites through the loose subcutaneous tunnel. The donor site was repaired by full-thickness skin graft collected from inguinal region. The survival of flaps and the follow-up of patients were observed. All flaps of 24 patients survived successfully. The recipient sites and donor sites were all healed. The patients all had follow-up of 6 to 24 months. At the last follow-up, the flaps were in good shape, with nearly normal color and soft texture. There were 6 cases of grade S3 sensation and 16 cases of grade S3(+) sensation. The distance of two-point discrimination of flaps ranged from 6 to 11 mm. The lateral foot skin grafts healed well, and the skin of the lateral foot was numb in the range of 4.0 cm×2.0 cm to 9.0 cm×3.0 cm. Heel lateral flap can not only repair the skin and soft tissue defects in the posterior region, but also reconstruct the sensory function of the posterior region. It is an ideal method to repair the skin and soft tissue defects in the posterior region.
探讨足跟外侧皮瓣修复足跟后部皮肤软组织缺损的临床效果。2007年9月至2016年4月，我科收治24例足跟后部皮肤软组织缺损患者（男17例，女7例，年龄16 - 70岁）。清创后皮肤软组织缺损大小为3.0 cm×2.0 cm至5.0 cm×4.0 cm。采用大小为3.5 cm×2.5 cm至6.0 cm×5.0 cm的足跟外侧皮瓣修复缺损。皮瓣经皮下疏松隧道转移至供区。供区采用取自腹股沟区的全厚皮片修复。观察皮瓣存活情况及患者随访情况。24例患者的皮瓣全部成功存活。受区和供区均愈合。患者均获6至24个月随访。末次随访时，皮瓣外形良好，颜色接近正常，质地柔软。感觉S3级6例，S3(+)级16例。皮瓣两点辨别觉距离为6至11 mm。足外侧皮片愈合良好，足外侧皮肤4.0 cm×2.0 cm至9.0 cm×3.0 cm范围麻木。足跟外侧皮瓣不仅能修复后部皮肤软组织缺损，还能重建后部感觉功能。是修复足跟后部皮肤软组织缺损的理想方法。
