Gaulke R, Partecke B D
Abteilung für Unfallchirurgie und Wiederherstellungschirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Unfallchirurg. 1994 Jan;97(1):47-53.
A long-term follow-up study on 20 patients with soft-tissue coverage of sole defects analysing "sensitivity", "stability" and "function" is presented. The dynamic motion of walking was recorded using an EMED sensor plate. Patients with free flap coverage of the sole only walk over the remaining original plantar skin if at all possible. Patients with transposition flaps, however, were found to have normal gait motion. In spite of these results, the better stability of free flaps than split-thickness skin grafts and the high acceptance by the patients makes the free neurovascular forearm flap a good donor for larger sole defects not suitable for transposition flaps. A new scoring system for free flaps on the sole of the foot is proposed.
本文介绍了一项针对20例足底缺损软组织覆盖患者的长期随访研究，分析了“感觉”“稳定性”和“功能”。使用EMED传感器板记录行走时的动态运动。足底采用游离皮瓣覆盖的患者，只要有可能，仅通过剩余的原始足底皮肤行走。然而，发现采用转位皮瓣的患者步态运动正常。尽管有这些结果，但游离皮瓣比中厚皮片具有更好的稳定性，且患者接受度高，这使得游离神经血管前臂皮瓣成为不适用于转位皮瓣的较大足底缺损的良好供体。本文提出了一种针对足底游离皮瓣的新评分系统。
