胫后动脉穿支皮瓣的临床应用

目的介绍胫后动脉穿支皮瓣在小腿及足、踝部软组织缺损修复中的应用。方法应用胫后动脉穿支皮瓣修复软组织缺损13例,其中小腿下段3例,足跟5例,足背2例,内踝3例。结果所有皮瓣均完全存活,随访3-12个月,各皮瓣质地柔软,皮瓣不臃肿,外形美观,供区植皮均成活,无并发症。结论胫后动脉穿支皮瓣能以最小的供瓣区代价达到高效的修复效果,是一种修复小腿及足、踝部软组织缺损的理想术式。

Application of Posterior Tibial Artery Perforator Flap

Objective To recommend the application of posterior tibial artery perforator flaps for repairing soft - tissue defects of lower leg,ankle and foot. Method From June 2007 to November 2006,13 pedicled perforator flaps were used to repair the soft - tissue defects of lower leg, ankle and foot. Among them, 5 cases of soft - tissue defects of heel, 2 cases of soft - tissue defects of instep, 3 cases of soft - tissue defects of medial ankle, 3 cases of soft - tissue defects of ventral leg. Results All the flaps were alive. The follow - up for 3 - 12 months revealed that these flaps were soft and complanate, with good shape. There are no complications in the donor sit. Condusion The posterior tibial atery perforator flap is a perfect method to repair soft - tissue defect of lower leg, ankle and foot because of the minimal donor site ＂cost＂ and the maximal efficacy.