足内侧远端筋膜蒂皮瓣修复？？及前足背皮肤缺损

目的：探讨足内侧远端筋膜蒂岛状皮瓣修复及前足背皮肤缺损的临床疗效。方法2007年8月-2012年12月，采用足内侧远端筋膜蒂岛状皮瓣修复及前足背皮肤缺损29例，皮肤缺损面积为2.0 cm×3.0 cm～5.0 cm×8.0 cm，供区直接拉拢缝合或行全厚皮片移植修复。结果本组29例皮瓣全部顺利成活，术后随访6～24个月，皮瓣质地柔软，外形及色泽良好，不臃肿，耐磨性好，恢复正常行走功能。供区植皮全部成活，愈合较满意。结论足内侧远端筋膜蒂岛状皮瓣血供可靠、操作简单、质地柔软、耐磨性好，是修复及前足背皮肤缺损的一种较好的手术方法。

Repair the great toe and dorsal foot soft tissue defects with retrograde medial plantar flap

Objective To investigate the clinical effect of repairing the great toe and dorsal foot soft tissue defects with retrograde medial plantar flaps. Methods From August 2007 to December 2012, 29 cases with the great toe and dorsal foot soft tissue defecfs were treated, the size of the skin defect ranged from 2.0 cm×3.0 cm to 5.0 cm×8.0 cm, we applied the retrograde medial plantar flaps to repair the defects, the donor site was direct sutured or covered with free skin grafting. Results All of 29 flaps survived successfully, followed-up for 6 to 24 months, the flaps had soft texture, good appearance and luster, no swollen, good abrasion resistance, the function of regular walking was recovered. The skin grafting of the donor area survived successfully, and had a satisfactory recovery. Conclusion It provides a way for repairing soft tissue defects of the great toe and dorsal foot by using the retrograde medial plantar flap, for its reliable blood supply, easy to operate, soft texture, good abrasion resistance.