Hovius S E, Hofman A, van der Meulen J C
Department of Plastic and Reconstructive Surgery, Academic Hospital Dijkzigt, Erasmus University, Rotterdam, the Netherlands.
Ann Plast Surg. 1988 Dec;21(6):532-5. doi: 10.1097/00000637-198812000-00007.
A chronic ulcer of the posterior heel or lateral ankle can be a large problem for the patient. The lateral calcaneal artery flap is a reliable neurovascular local skin flap that can cover the defect after excision of the ulcer in this area. The flap includes the lateral calcaneal artery, sural nerve, and lesser saphenous vein. We performed seven lateral calcaneal artery flaps from 1974 to 1986 for chronic ulcers of the heel or lateral malleolus. None failed. All patients can wear closed shoes. Two donor sites showed secondary healing. One donor site showed hyperkeratosis resulting from inappropriate planning of the flap.
足跟后部或外踝的慢性溃疡对患者来说可能是个大问题。跟外侧动脉皮瓣是一种可靠的带神经血管的局部皮瓣，可用于覆盖该区域溃疡切除后的缺损。该皮瓣包括跟外侧动脉、腓肠神经和小隐静脉。1974年至1986年期间，我们为足跟或外踝慢性溃疡患者实施了7例跟外侧动脉皮瓣手术，无一失败。所有患者术后均可穿封闭式鞋子。2个供区二期愈合。1个供区因皮瓣设计不当出现角化过度。
