游离股前外侧动脉穿支皮瓣修复足部创面的疗效分析

目的〖KG*2〗探讨游离股前外侧动脉穿支皮瓣修复足部创面的疗效及对下肢肢体功能的影响。〖HTH〗方法〖KG*2〗选取足部开放性损伤患者60例作为研究对象，均伴足部骨折。实施游离股前外侧动脉穿支皮瓣修复，皮瓣切取范围4 cm×3 cm~24 cm×12 cm，供区游离植皮或拉拢缝合。〖HTH〗结果〖KG*2〗60例患者游离股前外侧动脉穿支皮瓣均顺利存活；创面Ⅰ期愈合57例，延期愈合3例。60例患者均获随访，随访时间6~20个月，平均12个月。皮瓣供区未见肌力减退，质地及外观满意，触觉及温度觉恢复、活动好，其中55例皮瓣完全不臃肿，有较臃肿和较严重瘢痕形成各5例；末次随访时患者满意度为95%。骨折愈合时间5~12个月，平均8.5个月。肢体功能恢复状况中优35例，良20例，中5例，差0例，优良率为91.67%。〖HTH〗结论〖KG*2〗游离股前外侧动脉穿支皮瓣薄，不切取股外侧肌，对供区损伤小，皮瓣质地及外观满意，有助于恢复肢体功能，能满足对足部创面修复的要求。

Analysis of the curative effect of free perforator flap of anterolateral femoral artery in repairing foot wound

ObjectiveTo explore the effect of free anterolateral femoral artery perforator flap on the repair of foot wound and the function of lower extremity. MethodsSixty patients with open foot injury were selected as the research objects, all of them were accompanied with foot fracture.The patients were treated with free anterolateral femoral artery perforator flap. The flap was cut from 4 cm×3 cm-24 cm×12 cm, and the donor area was grafted or sutured. ResultsIn this group, 60 cases of free anterolateral femoral artery perforator flaps survived successfully, with 57 cases of primary wound healing and 3 cases of delayed wound healing. All 60 patients were followed up for 6 to 20 months, with an average of 12 months.There was no hypomyosis in the donor area of the flap, the texture and appearance were satisfactory, the tactile and thermosensory recovery and movement were good, among which 55 flaps were not overstaffed at all, 5 were relatively overstaffed and 5 were severely scarred, and the patient's satisfaction was 95% at the last follow-up. The average healing time was 8.5 months.In the recovery of limb function, 35 cases were excellent, 20 cases were good, 5 cases were medium and 0 cases were poor. The excellent and good rate was 91.67%.ConclusionThe free anterolateral femoral artery perforator flap is thin, and the lateral femoral muscle is not cut. It has little damage to the donor area, and the texture and appearance of the flap are satisfactory. It is helpful for the patients to recover the limb function and meet the requirements of the foot wound repair.