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采用趾短屈肌肌皮瓣进行足跟重建。

Heel reconstruction with flexor digitorum brevis musculocutaneous flap.

作者信息

Stevenson T R, Kling T F, Friedman R J

出版信息

J Pediatr Orthop. 1985 Nov-Dec;5(6):713-6. doi: 10.1097/01241398-198511000-00017.

DOI:10.1097/01241398-198511000-00017
PMID:4066949
Abstract

A 4-year-old girl with an extensive soft tissue loss of the left heel is presented. Management by debridement followed by coverage with an innervated flexor digitorum superficialis musculocutaneous flap resulted in primary healing. Full weight-bearing ambulation was resumed 8 weeks postoperatively. The patient has been ambulating on the reconstructed heel for 18 months without difficulty. Technical aspects of the reconstruction are presented as well as a discussion of treatment alternatives.

摘要

本文介绍了一名4岁女童，其左脚跟部存在大面积软组织缺损。通过清创处理，随后采用带神经支配的指浅屈肌肌皮瓣覆盖创面，实现了一期愈合。术后8周恢复了完全负重行走。该患者在重建后的足跟部行走了18个月，未出现困难。文中介绍了重建的技术要点，并对治疗方案进行了讨论。

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