带血管蒂跖内侧皮瓣移位修复足跟部软组织缺损方法的改进

对9例足跟部软组织缺损，采用带血管蒂跖内侧皮瓣移位移植修复，其中3例采用常规方法，6例采用皮瓣不切取跖筋膜的改进术式修复。术后皮瓣全部成活，改进的术式不切取跖筋膜，对供区损伤小，皮瓣较薄，修复后的外形较好。说明带蒂移位移植适宜修复足跟部软组织缺损。

Method improvement of the medial plantar pedicled flap transplantation to cover the defect of the foot heel

The article presents a method improvement of the medial plantar pedicled flap transplantation to cover the defect of the foot heel.Since 2002,6 patients with soft tissue defects on the foot heel underwent reconstruction with the medial plantar pedicled flap transplantation of excluding the plantar fascia and 3 patients used conventional flap of the medial plantar pedicled flap transplantation.They ranged in age from 18 to 52 years(mean,32 years).All the flaps had survived completely without major complication with satisfactory clinical results.Follow-up period ranged from 1.5 to 6 years(mean,3.8years)postoperatively.There was no remarkable donor site morbidity.Patients with flap of excluding the plantar fascia had good appearance in recipient site.Injury to donor site was reduced.Skin of the instep area can be raised as an island fasciocutaneous flap based on medial plantar vessels,with the branch of medial plantar nerve supplying the instep skin to provide the sensation.The flap is thin and suitable for repairment of soft tissue defect on the foot heel.