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应用股前外侧皮瓣修复足背皮肤缺损
引用本文:陆振良,陆大明,张鉴,徐雪平.应用股前外侧皮瓣修复足背皮肤缺损[J].中国现代手术学杂志,2008,12(5):368-370.
作者姓名:陆振良  陆大明  张鉴  徐雪平
作者单位:江苏省昆山市第一人民医院骨二科,昆山,215300
摘    要:目的总结股前外侧皮瓣修复足背皮肤软组织缺损的效果和体会。方法应用吻合血管的股前外侧皮瓣游离移植修复8例足背皮肤软组织缺损,皮瓣面积(11 cm×6 cm)-(20 cm×11 cm)。结果术后8例皮瓣全部成活。均获随访,平均12(6-18)月。6例恢复保护性感觉,2例感觉恢复较差。皮瓣外观均显臃肿,3例经二期修整后改善,供区愈合良好。结论股前外侧皮瓣是修复足背皮肤软组织缺损的有效方法之一。

关 键 词:外科皮瓣  足损伤

The Anterolateral Thigh Flap Grafting for Repairing the Soft Tissue Defect in Dorsum Pedis
LU Zhen-liang,LU Da-ming,ZHANG Jian,XU Xue-ping.The Anterolateral Thigh Flap Grafting for Repairing the Soft Tissue Defect in Dorsum Pedis[J].Chinese Journal of Modern Operative Surgery,2008,12(5):368-370.
Authors:LU Zhen-liang  LU Da-ming  ZHANG Jian  XU Xue-ping
Institution:LU Zhen-liang,LU Da-ming,ZHANG Jian,XU Xue-ping(Department of Orthopaedics,the First People\'s Hospital of Kunshan,Kunshan 215300,Jiangsu,China)
Abstract:Objective To summarize the effect and experience of soft tissue defect repair in dorsum pedis with anterolateral femoral skin flap. Methods 8 cases with soft tissue defect located in instep were repaired by anterolateral thigh flap. The area of the flap ranged from 11 cm × 6 cm to 20 cm × 11 cm. Results All flaps were survived. All the 8 cases were followed up for 6 to 18 months (average 12 months). The protective sensation was restored satisfactorily in 6 cases and barely in 2. After replasty, the clumsy appearance of flap was improved in 3 cases. All donor sites obtained well healing. Conclusion The anterolateral thigh flap grafting is one of an effective method for repairing the soft tissue defect in dorsum pedis.
Keywords:surgical flaps  foot injuries  
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