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足底内侧逆行岛状皮瓣修复前足底顽固性溃疡
引用本文:张志新,路来金,刘志刚,刘彬,王雪莹.足底内侧逆行岛状皮瓣修复前足底顽固性溃疡[J].中国修复重建外科杂志,2002,16(6):398-400.
作者姓名:张志新  路来金  刘志刚  刘彬  王雪莹
作者单位:吉林大学第一医院手外科,长春,130021
摘    要:目的 为临床前足底顽固性溃疡的修复提供一种方法。 方法 自 1 998年起 ,应用以足底内侧血管束远端为蒂的足底内侧逆行岛状皮瓣修复前足底顽固性溃疡 5例 ,同期矫正局部畸形 ,皮瓣切取范围 3.5~ 5.0 cm×4.0~ 5.5 cm,术后注意皮瓣区近期不负重 ,保持清洁干燥。 结果 皮瓣全部成活 ,随访 6~ 1 4个月 ,皮瓣质地好 ,可见较厚角化层 ,但皮瓣痛觉迟钝 ,患足可负重行走 ,溃疡无复发。 结论 以足底内侧动静脉为蒂的逆行岛状皮瓣血运好 ,适用于修复前足底顽固性溃疡

关 键 词:足底内侧  逆行岛状皮瓣  修复  前足底  顽固性溃疡
修稿时间:2001年11月21

TREATMENT OF REFRACTORY ULCERS ON SOLE OF FOREFOOT WITH REVERSED MEDIAL PLANTAR FLAP
ZHANG Zhi xin,LU Lai jin,LIU Zhi gang,et al..TREATMENT OF REFRACTORY ULCERS ON SOLE OF FOREFOOT WITH REVERSED MEDIAL PLANTAR FLAP[J].Chinese Journal of Reparative and Reconstructive Surgery,2002,16(6):398-400.
Authors:ZHANG Zhi xin  LU Lai jin  LIU Zhi gang  
Institution:Department of Hand Surgery, First Hospital of Jilin University, Changchun Jilin, P. R. China 130021.
Abstract:OBJECTIVE: To provide a new reconstructive method to treat refractory ulcers on the sole of the forefoot. METHODS: The reversed medial plantar flap with the medial plantar pedal artery and vein as pedicle was used to treat the refractory ulcers on the sole of the forefoot in 5 cases. The size of the flap was 3.5-5.0 cm x 4.0-5.5 cm. The deformities were corrected at the same time and the flaps were protected after operation. RESULTS: All flaps survived without complications. There was no recurrence after 6-month following-up. The patients could walk. CONCLUSION: The distal ends of medial plantar pedal artery and vein have plenty anastomoses with dorsal pedal artery and deep plantar arch. The reversed medial plantar flap has reliable blood supply by these anastomoses. The reversed medial plantar flap should be a choice in treating refractory ulcers on the sole of the forefoot.
Keywords:Medial plantar flap    Sole of forefoot    Ulcer    Repair
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