足背多叶皮瓣联合肌腱移植修复手部多指皮肤及肌腱缺损

目的 总结应用足背多叶皮瓣联合肌腱移植术修复手部多指皮肤及肌腱缺损的临床应用的经验.方法 在显微应用解剖研究的基础上,设计以胫前动脉为主干,分别以内踝前、足背动脉、外踝前血管为分支,构建成足内侧、足背、足外侧多叶皮瓣并携带(足母)短伸肌腱和第5趾固有伸肌腱,修复多指皮肤及肌腱缺损.结果 临床应用共12例,皮瓣完全成活11例,1例皮瓣远端小部分坏死,经换药后愈合.结论 足背多叶皮瓣移植是修复多指皮肤及肌腱缺损的较好方法.

Clinical application of muliplefoliated flap combined with tendon graft from dorsal foot for repairing soft tissue defects of multi-fingers

Objective To summarize clinical experience of application of muliplefoliated flap combined with tendon graft from dorsal foot for repairing soft tissue defects of multi-fingers. Methods Based on the results of microdissection researches, muliplefoliated flap including medial foot flap, the first metatarsal dorsal flap, lateral foot flap, extensor pollicis brevis of toe and extensor proprius of the fifth toe pedicled by anterior tibial vessels and dorsal pedis vessels as trunk, anterior medial malleolus vessels, the first metatarsal vessels and anterior lateral malleolus vessels as branches respective was designed for repairing soft tissue and tendon defects of multi-fingers. Results In all 12 cases, total survival of flap was 11 cases , 1 case had partial necrosis of distal flap and it was healed by dress changing. Conclusion Transplantation of muliplefoliated flap combined with tendon graft from dorsal foot is a good method to repair soft tissue and tendon defects of multi-fingers.