小腿穿支血管筋膜蒂皮瓣修复胫骨外露创面

目的 探讨小腿不同部化胫骨外露创面的修复方式。方法 应用小腿内、外、后侧穿支血管的筋膜蒂皮瓣邻近转位，对胫骨外露创面进行修复共32例。结果 术后1例皮瓣远端表皮坏死结痂，其余皮瓣均完全成活；1例皮瓣下肌肉坏死感染，伤口经换药延迟愈合，其余伤口均愈合良好。无一例骨髓炎发生。结论 小腿穿支血管筋膜蒂皮瓣切取方法简便、血供可靠，是胫骨外露中小型创面修复的较好方法之一。

Repair of wound defect with exposed tibia with facial flap pedicled with vascular perforating branch of leg

Objective To explore the method of repairing wound defects with exposed tibia. Methods 32 patients with soft tissue defects with exposed tibia were treated with three kinds of flaps pedicled with interior, lateral and posterior vascular perforating branches in the leg, respectively. Resuits One flap with distal part necrotic was treated with change of dressings and got one-stage healing, One case had delayed union for muscular infection under the flap. Other flaps all were successful and sur- vived. No ostemyelitis was found. Conclusion The flap pedicled with vascular perforating branches of leg has abundant blood supply and is a good method for repairing small or middle wound defect with exposed tibia.