第2跖背动脉逆行筋膜岛状皮瓣修复足趾软组织缺损

目的 介绍应用第2跖背动脉逆行筋膜岛状皮瓣修复足趾软组织缺损的手术方法.方法 2005年5月至2008年9月,对5例患者应用第2跖背动脉逆行筋膜岛状皮瓣修复足趾软组织缺损.皮瓣切取面积为2 cm×3 cm～5 cm×6 cm.结果 5例皮瓣全部成活,术后1～2个月恢复正常行走.随访5～7个月趾外形饱满,皮瓣质地良好,感觉基本恢复.结论 以第2跖背动脉为血管蒂的逆行筋膜岛状皮瓣具有血供可靠,切取方便,质地优良等优点,是修复足趾软组织缺损的较好方法.

Reverse second dorsal metatarsal artery island flap for repairing the soft tissue defect at toes

Objective To report the application of reverse second dorsal metatarsal artery island flap for repairing the soft tissue defect at toes. Methods From May 2005 to Septemper 2008,5 cases with soft tissue defects at toes were treated with reverse second dorsal metatarsal artery island flaps. The flaps size ranged from 2 cm ×3 cm to 5 cm×6 cm. Results All the 5 flaps survived completely. The patients could walk 1～2 months after operation. The patients were followed up for 5～7 months with good appearance, texture and sensation of toes. Conclusion The reverse second dorsal metatarsal artery island flap has a reliable blood supply and good tissue texture. It is a practical method for repairing the soft tissue defect at toes.