外踝上逆行穿支皮瓣修复前中足皮肤软组织缺损

目的：探讨外踝上逆行穿支皮瓣修复前中足皮肤软组织缺损的临床疗效。方法采取回顾性方法对我院2008年1月至2013年10月间15例足背皮肤软组织缺损患者应用外踝上逆行穿支皮瓣修复的治疗效果进行分析。结果本组皮瓣13例全部成活，2例皮瓣部分边缘坏死，经换药后愈合。随访时间为6～19个月，平均随访时间（12．5±0．5）个月。术后未见有皮瓣和皮片磨损的情况发生，且外观比较满意，穿鞋也无影响。患者的临床治疗总有效率100％。结论临床中外踝上逆行穿支皮瓣修复足背皮肤软组织缺损效果显著，能够有效的提高患者的临床治疗效果，且避免二次手术，值得临床中应用与推广。

Lateral supramalleolar antidromic perforator flap for skin and soft tissue defects of the forefoot and midfoot

Objective To investigate the clinical effects of lateral supramalleolar antidromic per-forator flap on repairing skin and soft tissue defects of the forefoot and midfoot.Methods The therapeutic effects of lateral supramalleolar antidromic perforator flap were retrospectively analyzed in 15 patients with skin and soft tissue defects of the dorsal foot from January 2008 to December 2013.Results The flap sur-vived in 13 cases.Two cases had flap edge necrosis and healed after dressing change.The follow-up time ranged from 6 months to 19 months,with an average of（12.5 ±0.5 ）months.No abrasions of flap or skin graft were observed.The appearance was satisfactory and it did not affect wearing shoes.The total effective rate was 100%.Conclusion In the treatment of skin and soft tissue defects of the dorsal foot,lateral su-pramalleolar antidromic perforator flap can effectively improve clinical efficiency and avoid reoperation, which is worthy of being spread in clinical practice.