改良足外侧皮瓣修复足跟及跟腱区皮肤软组织缺损

目的:评价以腓动脉终末支为血供的足外侧皮瓣修复足跟及跟腱区皮肤软组织缺损的临床疗效。方法:采用改良足外侧皮瓣转移方法对23例外伤致足跟和(或)跟腱部皮肤缺损的患者进行治疗。其中男16例,女7例;年龄6～48岁,平均36.8岁。结果:皮瓣全部成活。供瓣区植皮创面均Ⅰ期愈合。经5个月～9年随访,平均3年5个月,皮瓣无臃肿感,颜色正常,质地柔软耐磨,无压迫性溃疡发生。结论:应用腓动脉终末支为血供的足外侧皮瓣局部转移或形成岛状皮瓣修复跟腱和足跟区软组织缺损,解剖简便,修复后外观及功能恢复良好,是临床上修复足跟及跟腱区皮肤软组织缺损的良好选择。

Repair of soft tissue defects of heel with modified dermal flap of lateral foot

Objective:To evaluate the therapeutic effects of modified dermal flap of lateral foot with blood supply from terminal peroneal artery for repairing of soft tissue defects of heel.Methods:Twenty-three patients with soft tissue defect of the heel or tendo calcaneus induced by trauma were treated by modified grafting of dermal flap of lateral foot.Among them,16 patients were male and 7 patients were female,ranging in age from 6 to 48 years(averagely 36.8 years).Results:All grafted flaps survived after follow-up from 5 months to 9 years, averagely 3 years and 5 months.Skin grafting surface of wound healed at I phase.The skin flap had normal colour,good function,and soft,wear-resisting characteristics without compressed ulcer.Conclusion:This repairing method posses such advantages as convenient dissection,satisfactory appearance,and good functional recovery,indicating that it is a good choice to treat soft tissue defects of heel or tendo calcaneus.