足背动脉内侧筋膜支为蒂的足内侧皮瓣移植

目的报道足背动脉内侧筋膜支为蒂的足内侧皮瓣的设计及临床应用结果。方法对足内侧区皮肤筋膜血供的进一步观测,发现足背动脉内侧筋膜支恒定,为该区的重要血供来源。据此设计了可达10cm×8cm 的足内侧皮瓣。临床用于修复足背、踝部、前足、小腿下端及手部软组织缺损18例。结果术后皮瓣全部成活,效果良好,供区损害轻。结论足背动脉内侧筋膜分支是足内侧皮瓣的可靠血管蒂。该皮瓣是修复足背、踝部、小腿下端及前足软组织缺损的一种理想的组织瓣。

The medialis pedis flap based on the medial fasciocutaneous branches of the dorsal pedal artery

Objective This is to report the design and application of the medialis pedis flap.Meth- ods Based on the medial fasciocutaneous branches of the dorsal pedal artery,a medialis pedis flap can be raised.The flap had been used in 18 patients with soft tissue defects of the dorsum pedis,ankle region, lower leg or hand.Results The anatomic observation of the blood supply to the medial region of the foot showed that a constant distribution of fasciocutaneous branches issued from the dorsal pedal artery was an important blood supply to this area.All flaps used in the 18 patients survived completely with satisfactory results and minimal morbidity at the donor site.Conclusion We believe that the medial fasciocutaneous branches of the dorsal pedal artery are the reliable pedicle of the medialis pedis flap.The flap is useful for reconstruction of the soft tissue defects around the foot,ankle,lower leg or hand.