Vlastou C
Diagnostic and Therapeutic Center of Athens, Hygeia Hospital, Greece.
Acta Orthop Scand Suppl. 1995 Jun;264:27-30.
Reconstruction of soft tissue defects of the ankle and foot still presents a challenge. This is related to both the lack of large soft tissue flaps in this part of the body suitable for transfer to adjacent injured areas and to of the unique characteristics of the soft tissues of the sole of the foot. Microsurgery has solved some of these problems with the transfer of soft tissue from more distal areas. Several small arterialized and sometimes innervated flaps from the intrinsic tissues of the foot are also available for reconstruction of defects of limited size. The present report assesses 49 flaps, 15 local and 34 microsurgical transfers which were performed in 46 patients. The results suggest that there are several effective alternatives for coverage of soft tissue defects of the ankle and foot.
踝部和足部软组织缺损的重建仍然是一项挑战。这既与身体该部位缺乏适合转移至相邻受伤区域的大型软组织皮瓣有关，也与足底软组织的独特特性有关。显微外科手术通过从更远端区域转移软组织解决了其中一些问题。足部固有组织的几个小型动脉化且有时带神经支配的皮瓣也可用于重建有限大小的缺损。本报告评估了46例患者中进行的49个皮瓣，其中15个为局部皮瓣，34个为显微外科转移皮瓣。结果表明，对于踝部和足部软组织缺损的覆盖有几种有效的替代方法。
