Graf P, Biemer E
Abteilung für Plastische und Wiederherstellungschirurgie, Technischen Universität, Klinikum rechts der Isar, München.
Chirurg. 1994 Jul;65(7):642-5.
The sole of the foot has a unique soft tissue structure which allows weightbearing. There is no adequate reconstructive method for soft tissue defects of the weightbearing sole. Soft tissue reconstructions in this area frequently develop stress lesions. After degloving injuries of the heel, the unique vascularisation of the sole may lead to ischemia and consecutive soft tissue necrosis. Revascularisation of degloved heel pads e.g. by reconstruction of the medial calcaneal branch of the posterior tibial artery is recommended as a salvage procedure. In the primary treatment of extremity injuries with severe soft tissue damage a plastic surgeon should be involved.
足底具有独特的允许负重的软组织结构。对于负重足底的软组织缺损，尚无足够的重建方法。该区域的软组织重建经常会出现应力性损伤。足跟脱套伤后，足底独特的血管供应可能导致缺血及随后的软组织坏死。建议通过重建胫后动脉的跟内侧支等方法对脱套的足跟垫进行血管重建，作为一种挽救措施。在伴有严重软组织损伤的肢体损伤的初期治疗中，应请整形外科医生参与。
