摘要
目的 针对足跟骨与软组织创伤与组织缺损的特点 ,研究提高重建修复显微外科手术及术后功能的方法。 方法 采用带血管髂骨全厚板骨块与足底皮瓣、小腿部皮瓣、预制含足底皮片的复合功能性皮瓣构成组合体 ,同期或分期修复跟骨及足跟软组织。 结果 3例经术后 16～ 2 7个月的随访 ,无溃疡 ,行走负重良好 ,外形满意。 结论 髂骨的扁平结构较适合跟骨负重需要 ,不同部位软组织缺损选择不同皮瓣 ,与带血管髂骨移植后可先各自良好对位再行组合 ,可达到更满意的解剖塑型及外观。因此 。
Objective To study the better reconstructive methods and improve the postoperative functions of foot,according to the anatomic and traumatic particularities of the heel Methods Using vascularized iliac bone incorperated with free flaps of sole,low leg and other donor site which include skin split of sole transfer together to repair the defects of heel in one stage or by stages Results Followed up 16 to 27 months,three cases achieved good weight bare function and outlooking and avoided ulcer Conclusion The flat structure of iliac bone fit better for weight bare and walk of heel Choose proper flap according to the defect and transfer with vascularized iliac bone,put them respectively to their fittable position before anastomosis and composition The satisfactory anatomic reinstatement and appearence may be availble by using such microsurgical procedures which is a credible means proper to severe and compound injuries of foot
出处
《中华显微外科杂志》
CSCD
北大核心
2001年第3期175-176,共2页
Chinese Journal of Microsurgery
