摘要
目的探讨腓动脉穿支腓肠神经营养血管逆行岛状皮瓣修复足踝部创面的临床疗效。方法采用腓动脉穿支腓肠神经营养血管逆行岛状皮瓣修复足踝部创面26例,创面缺损范围5 cm×3.5 cm～18 cm×10 cm,皮瓣切取面积6.0 cm×4 cm～18 cm×12 cm。结果 26例均得到随访,时间3～12月。患者皮瓣均存活。术后发生皮瓣血管危象2例,予拆除缝线、高压氧治疗好转;皮瓣边缘部分坏死2例,供区植皮坏死1例、感染2例,均经换药治愈。皮瓣外观及功能满意。结论腓动脉穿支腓肠神经营养血管逆行岛状皮瓣血供可靠,损伤小,不需要显微外科技术,是修复足踝部软组织缺损的较理想皮瓣。
Objective To study the clinical effects for reconstruction the soft tissue defect and osteomyelitis wound in the ankle and foot with sural neurocutaneous vascular flap pedicled on the perforating branch of peroneal artery. Methods 26 palieuts with soft tissue defect in the heel and foot were treated with sural neurocutaneous vascular flap. The size of soft tissue defect was from 5 cm ~3.5 cm to 18cm ~ 10cm, and the size of obtained flaps were from 6. 0 cm ~4 cm to 18 cm ~ 12 cm. Results All flaps survived through the postoperative follow-up（ range from 3 to 12 months）. Vascular crisis occurred in 2 patients and obtained improvement after suture release and hyperbaric oxygen therapy. The margin necrosis of flap occurred in 2 patients, wound infection occurred in 2 patients and donor skin grafts necrosis in one. All wound healed after dressing change. The texture and function of flaps were satisfactory. Conclusions The sural n vascular flap pedicled on the perforating branch of peroneal artery is ideal flap for reconstruction the defect in the ankle and foot for reliable blood supply, less invasive and unstricted microsur- gical technique.
出处
《临床骨科杂志》
2012年第1期29-31,共3页
Journal of Clinical Orthopaedics
关键词
腓肠神经
外科皮瓣
踝损伤
软组织缺损
sural nerve
surgical flaps
ankle injuries
soft tissue defect
