摘要
1985年6月以来,我们应用胫侧胫后动脉的肌间隙血管为蒂的岛状皮瓣修复小腿下段胫前区和足踝部皮肤软组织缺损13例。10例皮瓣完全存活,3例远端部分坏死,创面自然愈合。皮瓣面积42～200cm^2,平均146cm^2。皮瓣旋转角度:90～180°,平均128°。由于不切断主干血管,血供及回流均好,对肢体远端血运无影响。且手术简单易行,安全可靠。
Since June 1985, 13 extensive defects over lower tibial and the ankle have been covered with the tibial island flaps with intermuscular space vessels. Ten of the flaps survived com- pletely. Partial necrosis of the flaps was found in 3 cases which healed spontaneously without further surgical intervention. The area of the flaps were from 42 to 200cm^2, averaged 146cm^2. Their rotation angles were from 90 to 180°, averaged 128°. The pedicle of the flap was the intermuscular cutaneous branches from the posterior tibial vessels. The procedure did no harm to the main trunk of the posterior tibial vessels, therefore, did not affect the peripheral circulation of the leg. The procedure is easy, practical and safe.
