腓肠神经营养血管蒂逆行岛状皮瓣修复足部软组织缺损

目的　观察应用腓肠神经营养血管蒂逆行岛状皮瓣修复足部软组织缺损的临床效果。方法　对 1 8例足部软组织缺损患者 ,以其腓肠神经营养血管为蒂 ,于小腿后侧切取皮瓣逆行转移修复缺损区。观察术后患者皮瓣成活情况及供区创面愈合情况。　结果　术后皮瓣均成活 ,切取的最大皮瓣为 1 0 .5cm× 1 6.5cm。供区创面愈合良好 ,除外观略受影响外活动功能基本正常。　结论　腓肠神经营养血管蒂逆行岛状皮瓣切取简便 ,移植成活率高 ,是修复足部软组织缺损的较好方法。

Repairing of soft tissue defects of foot with reverse island skin flap nourished by sural nerve vasa vasorum

OBJECTIVE: To investigate the clinical outcome of the repairing of soft tissue defects of foot with reverse island skin flap nourished by vasa vasorum of the sural nerve. METHODS: The skin flap was designed with sural nerve and its vasa vasorum as the pedicle, and was harvested from the posterior crural region based on the size of the wounds. The defects of the foot in eighteen patients were repaired by reverse transplantation of the skin flap. The state of the skin flaps was observed post-operatively. RESULTS: All the skin flaps survived. The biggest skin flap was 10.5 cm x 16.5 cm in size. The donor sites healed well with negligible change in appearance and function. CONCLUSION: Reverse gastrocnemius musculocutaneous flap nourished by sural nerve vasa vasorum was easily procured with high survival rate, and it could be an ideal flap for the repair of soft tissue defect of the foot.