腓动脉穿支蒂小腿外后侧链型供血皮瓣修复足踝部创面

目的 探讨腓动脉穿支蒂小腿外后侧链型供血皮瓣修复足、踝部创面的可行性.方法 2007年1月至2009年3月,采用腓动脉穿支蒂外后侧链型供血皮瓣修复足、踝部创面12例,皮瓣范围10 cm×10 cm～25 cm×13 cm.供区移植皮片修复. 结果术后12块皮瓣全部成活.所有患者均获随访,最长12个月,最短1个月,平均随访6个月,皮瓣色泽、质地、外形良好.结论 腓动脉穿支蒂小腿外后侧链型供血皮瓣血运可靠,修复范围广,保留腓肠神经,供区损伤小.

Fibular artery perforator link-pattern flaps at lateral and posterior part of leg

Objective To investigate the feasibility of fibular artery perforator link-pattern flaps at lateral and posterior part of legs. Methods From January 2007 to March 2009, 12 cases of with feet and ankle wounds were treat with fibular artery perforator link-pattern flaps at lateral and posterior part of legs. The flap size ranged from 10 cm×10 cm to 25 cm×13 cm. The wounds at the donor sites were closed with skin grafts. Results All the flaps survived completely. The patients were followed up for 1～12 months(median, 6 months). The color,texture and appearance of the flaps were good. Conclusion The link-pattern flap has areliable blood supply and a large area for repairing defects. The sural nerve is reserved, resulting minimal morbidity to donor site.