采用足底内侧动脉皮瓣“相似对相似”重建足跟垫——19例患者的功能和美学效果
"Like For Like" Reconstruction of Heel Pad with Medial Plantar Artery Flap-Functional and Aesthetic Outcomes in A Series of 19 Cases.
作者信息
Sundaramurthy Narayanamurthy, Venkata Mahipathi Surya Rao, Durairaj Alagar Raja, Jayachandiran Anand Prasath, Selvaa Shalini Ranipet
机构信息
Department of Plastic and Reconstructive Surgery, Saveetha Medical College, Saveetha Nagar, Thandalam, Kanchipuram District, Tamil Nadu, India.
Saveetha Medical College, Saveetha Nagar, Thandalam, Kanchipuram District, Tamil Nadu, India.
出版信息
Indian J Plast Surg. 2021 Sep 17;54(3):358-361. doi: 10.1055/s-0041-1735424. eCollection 2021 Sep.
Heel pad loss can cause serious problems in weight-bearing and locomotion. The medial plantar artery (MPA) flap is a suitable "like for like" replacement. Nineteen patients whose heels were reconstructed with MPA flap between July 2015 and February 2020 were studied. All patients were assessed based on flap survival, functionality, and patient satisfaction. Loss of heel pad was due to diabetic ulcer (11), trauma (6), tumor (1), and unstable scar (1). The largest flap measured 9 × 7 cm. Sixteen flaps were done as fasciocutaneous flaps and three in combination with abductor hallucis muscle (AbdH). All the flaps survived. The average functional scores at 6, 12, 18, and 24 months were 86.86, 89.62, 89.38 and 97.33 based on AOSAS-AH score. Average patients' satisfaction was 8.7/10. To conclude, the MPA system is a versatile vascular axis providing "like for like" tissue for heel pad reconstruction which is reliable and durable.
足跟垫缺失会在负重和行走方面引发严重问题。足底内侧动脉（MPA）皮瓣是一种合适的“同类”替代物。对2015年7月至2020年2月间采用MPA皮瓣重建足跟的19例患者进行了研究。所有患者均根据皮瓣存活情况、功能以及患者满意度进行评估。足跟垫缺失的原因包括糖尿病溃疡（11例）、创伤（6例）、肿瘤（1例）和不稳定瘢痕（1例）。最大的皮瓣尺寸为9×7厘米。16例采用筋膜皮瓣，3例联合拇展肌（AbdH）。所有皮瓣均存活。根据AOSAS - AH评分，6个月、12个月、18个月和24个月时的平均功能评分分别为86.86、89.62、89.38和97.33。患者平均满意度为8.7/10。总之，MPA系统是一种多功能的血管轴，可为足跟垫重建提供可靠且持久的“同类”组织。
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