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国际皮肤外科手术:使用基于足底内侧的皮瓣修复足部缺损。

International dermatosurgery: use of medial plantar based skin flaps for correction of foot defects.

作者信息

Amarante J, Schoofs M, Costa H, Reis J, Gongaza R

出版信息

J Dermatol Surg Oncol. 1986 Jul;12(7):693-5. doi: 10.1111/j.1524-4725.1986.tb01973.x.

DOI:10.1111/j.1524-4725.1986.tb01973.x
PMID:3522686
Abstract

The recently described instep island flap can be used to restore foot tissue deficits, however, its usefulness is limited by the length of the neurovascular pedicle and by the small surface of the flap. This flap can also be used as a free or as a cross-foot flap. We describe our experience with 10 patients. Heel defects in seven of them were corrected by the instep island flap. In the other three cases, the technique was modified, and the flap was obtained from the contralateral side, by a cross-foot flap. In these last three cases, sensibility was obtained by neurorrhaphy, with excellent results.

摘要

最近描述的足背岛状皮瓣可用于修复足部组织缺损,然而,其应用受到神经血管蒂长度和皮瓣面积小的限制。该皮瓣也可作为游离皮瓣或跨足皮瓣使用。我们描述了我们对10例患者的经验。其中7例足跟缺损通过足背岛状皮瓣矫正。在其他3例中,技术进行了改良,通过跨足皮瓣从对侧获取皮瓣。在最后这3例中,通过神经缝合恢复了感觉,效果极佳。

相似文献

1
International dermatosurgery: use of medial plantar based skin flaps for correction of foot defects.国际皮肤外科手术:使用基于足底内侧的皮瓣修复足部缺损。
J Dermatol Surg Oncol. 1986 Jul;12(7):693-5. doi: 10.1111/j.1524-4725.1986.tb01973.x.
2
[The treatment of heel skin defects using a medial plantar skin flap].
Acta Chir Belg. 1990 Sep-Oct;90(5):262-6.
3
The instep of the foot as a fasciocutaneous island and as a free flap for heel defects.
Plast Reconstr Surg. 1983 Jul;72(1):56-65. doi: 10.1097/00006534-198307000-00013.
4
Neurovascular island flaps from the plantar vessels and nerves for foot reconstruction.用于足部重建的来自足底血管和神经的神经血管岛状皮瓣。
Ann Plast Surg. 1984 Apr;12(4):327-32. doi: 10.1097/00000637-198404000-00004.
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The plantar digital web space island flap for reconstruction of the distal sole.用于足底远端重建的趾蹼间隙岛状皮瓣。
Ann Plast Surg. 1987 Jul;19(1):68-74. doi: 10.1097/00000637-198707000-00012.
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Coverage of heel and sole defects: a new subfascial arterialized flap.
Plast Reconstr Surg. 1980 Aug;66(2):250-60. doi: 10.1097/00006534-198008000-00014.
7
[The internal plantar island flap. Anatomic study and surgical applications].[足底内侧岛状皮瓣。解剖学研究与手术应用]
Rev Chir Orthop Reparatrice Appar Mot. 1984;70(2):151-4.
8
Anatomic study of a new axial skin flap based on the cutaneous branch of the medial plantar artery.基于足底内侧动脉皮支的新型轴型皮瓣的解剖学研究
Microsurgery. 1995;16(3):144-8. doi: 10.1002/micr.1920160306.
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The posterior arm free flap.
Plast Reconstr Surg. 1985 Dec;76(6):908-13. doi: 10.1097/00006534-198512000-00020.
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Fasciocutaneous island flap based on the medial plantar artery: clinical applications for leg, ankle, and forefoot.基于足底内侧动脉的筋膜皮岛状皮瓣:在小腿、踝关节和前足的临床应用
Plast Reconstr Surg. 1990 Jan;85(1):47-58; discussion 59-60. doi: 10.1097/00006534-199001000-00009.

引用本文的文献

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Cross-leg flaps: Case series, review, and proposed classification.交腿皮瓣:病例系列、综述及拟议的分类
JPRAS Open. 2023 Sep 28;38:249-260. doi: 10.1016/j.jpra.2023.09.005. eCollection 2023 Dec.
2
The instep flap for anterior ankle coverage with bone and hardware exposure.带骨和内置物外露的前踝部覆盖的足背皮瓣。
Eur J Orthop Surg Traumatol. 2022 May;32(4):775-781. doi: 10.1007/s00590-021-03055-4. Epub 2021 Jun 12.
3
The Use of Local Medial Plantar Artery Flap for Heel Reconstruction: A Systematic Review.足底内侧动脉局部皮瓣用于足跟重建的系统评价
Cureus. 2020 Aug 19;12(8):e9880. doi: 10.7759/cureus.9880.