带胫后动脉小腿内侧逆行岛状皮瓣修复足跟底部组织缺损

足跟部是人体主要持重部位，组织缺损后的修复要求较高。一但皮肤与皮下组织撕脱缺损，将使跟骨与跖筋膜外露。用带血供的组织瓣覆盖修复创面是众多的学者所公认的。我科自１９８５年５月￣１９９４年５月收治了２６例足跟底部大面积组织缺损折病人，在急诊清创术的同时，用同侧带胫后动脉的小腿内侧逆行岛状皮瓣一期修复创面。经过随访，疗效满意。其优点是：皮瓣供血丰富，可供使用的皮瓣面积大，厚度适中，弹性好并耐磨。血管位置

ABSTRACTRETROGRADE ISLAND SKIN FLAP FROM MEDIAL SIDE OF LEG WITH POSTERIORTIBIAL ARTERY IN THE REPAIR OF TISSUES DEFECT OF THE SOLE OF FOOT

issues defect of the sole of the foot.requires a high quality of repair, because the sole bearsthe body weight most. Once there is loss of soft tissiies and skin from the sole,the os calsis andthe plantar fascia will be exposed.The use of Vascularized tissue flaps to cover the beare area ofthe sole has been generally recognked. From May,1985 through May, 1994 , 26 cases of exten-sive tissue defects of the soles were treated. During the primary debridement, the wounds wererepaired primarily by using ret rograde island skin flap from the medial side of the leg with theposterior tibial artery. From the follw-up , the results were satisfactory. The advantages were:the skin flap had rich blood supply , large skin flap was available,the thick ness of the flap wasappropriate , and the elasticity or the weight bearing was good. Besides,the location of the arterywas constant, and the operative technique was easy to handle and could be done in one-stage withhigh surviml rate of the skin flap.