摘要
目的 总结联合应用足底内侧皮瓣及足外侧皮瓣修复足跟部大面积皮肤软组织缺损的方法及效果。方法 1995年 1月～ 2 0 0 1年 10月联合运用同侧足底内侧皮瓣和足外侧皮瓣转位修复足跟底部及跟后部大面积皮肤、软组织缺损 9例 ,其中外伤 5例、慢性骨髓炎 2例、鳞状细胞癌 2例。创面最大为 16 .5cm×6 .5cm ,最小为 10 .0cm× 4 .0cm。结果 术后未发生血管危象 ,皮瓣全部成活 ,伤口Ⅰ期愈合。随访 6个月～6年 ,所有病例皮瓣外观及功能均恢复良好。结论 足跟部为负重区 ,跟后部为摩擦区 ,对此处大面积皮肤软组织缺损后的修复要求较高。用上述 2个皮瓣联合使用完全符合足部修复要求 。
Objective This paper summarize the clinical methods and results of operation concerning the flap repairing of defect of large area skin and soft tissue on heel using both medial pedal island and lateral pedal flaps.?MethodsFrom January 1995 to October 2001,the above repairing operation had been performed for nine cases. These included five traumatic cases,twe chronic osteomyelitis cases,two squamous carcinoma cases. The maximal size of defect was 16.5 cm×6.5cm,the minimal size was 10.0cm×4.0cm.?Results All the flaps survived competely without vascular crisis. All the wounds healed within first period. Followed up from six months to six years,all the cases had fine appearance and good function of the heal.?Conclusion The heel is the load area of human,the back of the heel is the friction area. The repairing of defect of large area skin and soft tissue on heel needs high requests. The combination use of two pedal flaps meets the repairing requirements. The results of repairing were satisfactory.
出处
《创伤外科杂志》
2003年第3期202-204,共3页
Journal of Traumatic Surgery
