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足背游离皮瓣移植在四肢创伤中的应用

Free Dorsalis Pedis Flap in Extremity Trauma

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【作者】 洪光祥; 冼我权; 朱通伯; 王发斌; 黄省秋;

【Author】 Hung Guangqiang,Xian Wuoquan,Zhu Tongbo,Wang Fabin,Huang XingqiuDepartment of Orthopaedic Surgery,1st Teaching Hospital,Wuhan Medical College,Wuhan

【机构】 武汉医学院第一附属医院骨科; 武汉医学院第一附属医院骨科;

【摘要】 <正> 我们自1976年3月首例游离腹股沟皮瓣移植成功以来,1978年10月至1980年2月又进行了4例游离足背动脉皮瓣移植,全部成功。 足背的血液供应 足背的皮肤血运由足背动脉及其分支和大、小隐静脉及足背静脉弓所支配(图1)。足背动脉是胫前动脉的延续,近端位于胫前肌和拇长伸肌腱之间,于伸肌支持带之下进

【Abstract】 From October 1978 to February 1980 we have performed successfully four free dorsalis pedis flap transplantations by microvascular anastomoses.One of these flaps was applied to repair scar contracture following burn of left carpus.Two were used to reconstruct skin defect of the heel.A free dorsalis pedis tendon-cutaneus flap was applied to repair the defect of skin and flexor tendon in the right forearm.All these surgical manipulations were done with satisfactory results.In this paper is described the blood supply of dorsal skin of the foot and the technique of free dorsalis pedis flap transplantation,and problems worthy of note during and following operation were also discussed.

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