【摘要】 目的　报道应用胫后动脉内踝上皮支皮瓣修复足踝部软组织缺损的临床效果。　方法　自 1997年 10月～ 2 0 0 1年 12月 ,应用胫后动脉内踝上皮支皮瓣转移修复各种原因所致的足踝部软组织缺损 11例。　结果　 10例术后皮瓣全部成活 ,1例皮瓣远端少许坏死 ,皮瓣面积最大为 2 8cm× 11cm ,最小为 8cm× 6cm ,随访 6个月～ 2年 ,效果满意。　结论　皮瓣应用胫后动脉内踝上皮支为蒂 ,可以不牺牲小腿主要血管而修复足踝部大部分的软组织缺损 ,手术简便、安全 ,是一种比较理想的方法。更多还原

【Abstract】 Objective To introduce a new flap of cutaneous branches of posterior tibial artery on the part of superior medial malleolus to repair soft tissues defect on the feet and the ankles Methods From October 1997 to December 2001,a flap with the pedicle called cutaneous branches of posterior tibial artery on the part of superior medial malleolus were used to repair 11 cases which suffered skin and soft tissue defect on the feet and the ankles due to various trauma Results The flaps were survived completely on 10 cases and the flaps distal had about 2 cm necrosis on 1 case,the size of the flap ranged from 28 cn×11 cm to 8 cm×6 cm,all of the 11 cases were evaluated as satisfactory after 6 months to 2 years follow-up Conclusions The new procedure can repair mostly soft tissue defect on the foot and the ankle and does not sacrifice the major arteries. The flap is easy to be performed,and it is an safety and ideal method.更多还原