【摘要】 目的　解剖观察足底内侧动脉浅支的足弓顶皮支的解剖特点 ,并以此为蒂设计皮瓣应用于临床。　方法　解剖观察 8只足标本及用Doppler仪探测 5 0只足的结果 ,明确足弓顶皮支的解剖位置及体表投影 ,制定皮瓣设计方案。应用游离足弓顶皮支皮瓣修复手部皮肤缺损 6例 ,并同时缝合皮瓣的隐神经蒂 ,以恢复皮瓣感觉。　结果　 6例皮瓣术后均完全成活 ,随访 6～ 14个月 ,手部功能恢复较好 ,效果良好。　结论　足弓顶皮支皮瓣设计合理 ,是修复手部中小面积皮肤缺损较为理想的皮瓣。更多还原

【Abstract】 Objectives To observe anatomical location of the top branch of plantaris arch which extends from the superficial branch of the medial plantar artery,design and apply flap base on it. Methods On the basis of the anatomical data from 8 feet of 4 fresh cadavers and probed of the Doppler from 50 feet of normal person,defined the anatomic location and body surface projection of the top branch of plantaris arch,a type of new flap design were introduced in the paper. Results The flaps have been used in six cases clinically to treat skin defect of the hand meanwhile,sensation of the flap was regained by suturing nerve.All flaps survived,the appearance of the flaps were excellent,the function of the injured hands were recovered well. Conclusions The design of the flap is reasonable,it is suitable that the free medialis pedis flap of the top branch of plantaris arch is used to repair a small skin defect of the hand.更多还原