采用带血管蒂嵌合型肩胛皮瓣重建中足区：1例报告

Arata Jun, Tsuge Itaru, Kumakiri Masanori, Yamashita Teruyo, Kaito Shuko, Yong Yoon, Yamada Shigeru

Department of Plastic and Reconstructive Surgery, National Hospital Organization Kyoto Medical Center, Japan.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Plast Reconstr Surg Glob Open. 2021 Mar 15;9(3):e3361. doi: 10.1097/GOX.0000000000003361. eCollection 2021 Mar.

We report a case of reconstruction of a left midfoot defect with a chimeric partial scapula and skin flap in a 20-year-old man. After radical debridement, bone and soft tissue defects were reconstructed with a chimeric scapula and skin flap. The postoperative course was uneventful. The patient could walk well without support, and bone union was achieved 6 months after surgery. In 14 months of follow-up, no clinical complications (including new ulcer or stress fracture) were noted and full ambulation was achieved, with the patient returning to his previous work. We suggest that the chimeric scapula and skin flap may be a useful alternative option for midfoot reconstruction.

我们报告了一例20岁男性患者，采用嵌合部分肩胛骨和皮瓣修复左中足缺损的病例。在彻底清创后，用嵌合肩胛骨和皮瓣修复骨与软组织缺损。术后过程顺利。患者无需支撑即可良好行走，术后6个月实现骨愈合。在14个月的随访中，未发现临床并发症（包括新的溃疡或应力性骨折），患者实现了完全行走，并重返工作岗位。我们认为，嵌合肩胛骨和皮瓣可能是中足重建的一种有用的替代选择。