胫后动脉穿支皮瓣修复足背足跟部软组织缺损的临床应用

目的 研究利用胫后动脉穿支皮瓣修复足背足跟部软组织缺损的临床效果.方法 2007年8月～2010年8月利用胫后动脉穿支皮瓣修复足背软组织缺损12例,足跟部皮肤缺损6例,共18例.结果 18例皮瓣均成活,创面愈合良好,创面缺损修复满意.结论 利用胫后动脉穿支皮瓣修复足背足跟部软组织缺损操作简单、皮瓣面积大、质地柔软、成功率高、创伤小、且不损伤小腿主要血管,是修复足背足跟部软组织缺损的理想方法和选择.

Application of posterior tibial artery perforator-based flap for repairing skin soft tissue defect in dorsal pedis and sufficient root with bone and tendon explosure

Objective To explore the effects of posterior tibial artery perforator-based flap in reconstruction of skin soft tissue defect in dorsal pedis and sufficient root.Methods The 12 cases with skin soft tissue defect in dorsal pedis and 6 cases with skin soft tissue defect in sufficient root total 18 cases were treated with local transfer of posterior tibial artery perforator-based flap form Aug 2007 to Aug 2010.Results 18 cases the flap were all alive,the wounds were better healed and the repairtion of the wounds were satisfactory.Conclusion Use the posterior tibial artery perforator-based flap to reconstruct the skin soft tissue defect in dorsal pedis and sufficient root is an simple operation,and the flap may be make so large and soft,and it did not hert the main vesssl of the shank,and it is an ideal method and choice for repairing skin soft tissue defect in dorsal pedis and sufficient root with bone and tendon explosure.