摘要
目的 探索一种简单有效的修复小腿下 1/3及足踝部软组织缺损的方法。 方法 设计远端蒂腓骨短肌瓣转位修复小腿下 1/3及足踝部软组织缺损创面 ,中厚皮片移植覆盖肌瓣。 结果 16例小腿下 1/3及足踝部软组织缺损病例 ,缺损面积最大 5cm× 7cm ,最小 3cm× 4cm。术后伤口一期愈合 14例 ,二期愈合 2例 ,无 1例肌瓣完全坏死。 结论 远端蒂腓骨短肌瓣是修复小腿下 1/3及足踝部软组织缺损诸多方法中最简单、并发症最少、成功率较高的方法之一 ,尤其适合于中、小创面的修复。
Objective To investigate a simple, valuable new method for coverage of the soft tissue defect over the lower one-third of the leg, ankle and the foot. Methods The distally based peroneus brevis muscle flaps were applied for coverage of the soft tissue defects over the lower one-third of the leg, the ankle and the foot. The muscle flaps were covered with split-thickness skin grafts. Results The distally based peroneus brevis muscle flaps were applied for coverage of the soft tissue defects over the lower one-third of the leg, the ankle and the foot in 16 cases. The largest area of the soft tissue defect was 5 cm×7 cm. The smallest was 3 cm×4 cm. Primary healing occured in 14 cases undergoing muscle flap construction, second-stage healing occured in 2 cases, no total flap necrosis occured in any cases. Conclusion This technigue is a simple and complications are lesser. The successful rates are higher. This muscle flap is suitable to the mudium or small soft tissue defect especially.
出处
《中华显微外科杂志》
CSCD
北大核心
2003年第1期17-18,共2页
Chinese Journal of Microsurgery
