足底内侧动脉穿支蒂足背内侧皮神经逆行皮瓣的应用

目的 探讨足底内侧动脉穿支蒂足背内侧皮神经营养血管逆行岛状皮瓣的临床应用效果.方法 2005年6月至2008年3月;应用以足底内侧动脉穿支为蒂的足背内侧皮神经营养血管逆行岛状皮瓣修复足前端软组织缺损12例,皮瓣切取面积3.0 cm×3.5 cm～5.5 cm×8.5 cm.结果 12例皮瓣全部成活,供区创面也愈合顺利.经随访6～24个月,皮瓣质地、弹性均正常,无溃疡发生,感觉获得一定恢复,两点辨别觉为7～10 mm,外观及功能满意.供区创面也顺利愈合.结论 该皮瓣扩大了切取面积和修复范围,具有手术操作相对简单、安全,不损伤主要血管,皮瓣厚薄适中,弹性好,耐磨,色泽与受区一致的优点.

The clinical application of plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps

Objective To explore the clinical effect of plantar medial perforator artery based reverse island medial dorsal pedal neuroutaneous vascular flaps. Methods 12 cases with soft tissue defects of forefeet were treated by plantar medial perforator artery based reverse island medial dorsal pedal neurocutaneous vascular flaps. The flap size ranged from 3.0cm×3.5 cm to 5.5 cm×8.5cm. Result All flaps survived completely. The patients were followed up for 6 ～ 24 months. The texture and flexibility of the flaps were normal with no ulcer. The sensation improved with the two-point discrimination of 7 ～ 10 mm. The cosmetic and functional results were satisfactory. The wounds at donor site healed primarily. Conclusions The flaps have expanded size for large defects with good flexibility, thickness and texture. It is easily performed with less morbidity to main artery.