Granick M S, Newton E D, Futrell J W, Hurwitz D
Ann Plast Surg. 1987 Jul;19(1):68-74. doi: 10.1097/00000637-198707000-00012.
A neurovascular flap of interdigital web space skin based on the plantar circulation is described. The flap is useful for reconstructing distal plantar defects that do not have an adequate surface for skin grafting. It leaves a donor defect in a non-weight-bearing area and does not disrupt the structural integrity of the foot. The surgical anatomy and operative approach are detailed. The key to the approach is to preserve the fat pad around the neurovascular bundle during the dissection. Six patients have successfully undergone this procedure and have been followed for at least 2 years postoperatively. The plantar island flap is a reliable flap for repairing plantar defects overlying the metatarsal heads.
本文描述了一种基于足底循环的指蹼间隙皮肤神经血管皮瓣。该皮瓣可用于修复足底远端没有足够皮肤移植面积的缺损。它在非负重区域留下供区缺损，且不破坏足部的结构完整性。文中详细介绍了手术解剖结构和手术方法。该方法的关键在于解剖过程中保留神经血管束周围的脂肪垫。6例患者已成功接受此手术，并在术后至少随访了2年。足底岛状皮瓣是修复覆盖跖骨头的足底缺损的可靠皮瓣。
