摘要
目的总结趾短屈肌肌皮瓣修复足跟部软组织缺损的效果。方法１９８４年５月～１９９７年１０月，应用带血管蒂的岛状趾短屈肌肌皮瓣平行后移位予以修复，临床应用２６例。结果术后皮瓣全部成活，除１例创缘感染延迟愈合外，其余２５例均Ⅰ期愈合；１８例获９个月～６年随访，皮瓣痛、温觉正常或接近正常，恢复负重功能。结论由于足跟部软组织缺损的特殊性，应用趾短屈肌肌皮瓣修复，具有接近创面、部位隐蔽、皮瓣感觉恢复佳、耐压及耐磨等优点。
Objective To investigate the repairing method of soft tissue defect of heel, pedicled island myocutaneous flap of flexor digitorum brevis was designed. Methods From 1984 to 1997, 26 cases with soft tissue defect of heel were adopted in the clinical trial. Amang them, the were 18 males, 8 females and the age ranged from 15 to 60 years old. The area of wound ranged from 2.5 cm×1.5 cm to 8.0 cm×6.0 cm. Results After operation, all of the flaps survived. They were followed up for 9 to 72 months. All of the flaps had primary healing except in one there was infection of peripheral of the flap. The contour of heel was satisfactory the sensation of flap was good and the weight bearing function was also successful. Conclusion It was concluded that the myoctuaneaous flap of flexor digitorum brevis could be used to repair the soft tissue defect of heel because of its nearby position, hidden location, good recovery of skin sensation and weight bearing function, Besides, the procedure of this operation was simple and the anti inflammatory potential of the flap was high. However, Because of the limited donor area, the pre operative design was important.
出处
《中国修复重建外科杂志》
CAS
CSCD
1999年第1期16-17,共2页
Chinese Journal of Reparative and Reconstructive Surgery
