摘要
目的回顾性研究一种修复足踝部复合组织缺损的方法。方法 2007年2月～2011年1月,设计带部分股外侧肌的股前外侧肌皮瓣修复足踝部皮肤软组织、内在肌缺损及伸肌腱、骨缺损共15例。结果 15例肌皮瓣无血管危象发生,全部成活,均获随访6～18个月,外形满意,皮瓣质地柔软。10个月以上患者恢复部分触、痛觉。所有患者均可不扶拐行走,无明显疼痛。结论游离股前外侧肌皮瓣是修复足踝部复合组织缺损较为理想的方法。
【Objective】 To discuss the method of restoration of skin and tissue defect in foot or ankle.【Methods】 From February2007～January2011,15 anterolateral thigh musculocutaneous flaps were applied in the foot or ankle skin and tissue defect,all cases with large area skin avulsion or degloved,associated with multiple open fractures and tendon injuries.【Results】 All flaps survived without vascular crisis after operation.All recipient sites healed by first intention.The follow-up period ranged from 6～18 months,all cases had satisfactory appearance,the texture of flaps was soft.More than 10 months after operation,the sense of pain and touch recovered.There was no functional impairment at the donor sites although scar hyperplasia was formed in some cases.【Conclusion】 Anterolateral thigh flap is an optimal choice for skin and tissue defect of foot or ankle.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第9期77-80,共4页
China Journal of Modern Medicine
关键词
股前外侧肌皮瓣
足踝部
复合组织缺损
显微外科
修复
musculocutaneous flap
foot or ankle
skin and tissue defect
microsurgery
restoration
