【摘要】 目的　探讨足跟部 ,踝部 ,足背部 ,膝下皮肤缺损并骨与肌腱外露的修复方法。方法　采用带腓肠或隐神经血管筋膜蒂岛状皮瓣逆行或顺行转移修复足跟部 ,踝部 ,足背部 ,膝下创面 8例 ,蒂宽 3～ 4cm ,蒂长 3～ 7cm ,皮瓣最大 14cm× 7cm ,最小 8cm× 5cm ,随防 1.5～ 14个月。结果　皮瓣全部成活 ,1例远端浅表坏死 2cm ,后经换药后伤口愈合 ,1例静脉回流受阻 ,经多个小切口减压 ,脱水 ,抬高等治疗后好转。随访结果 :足内外侧麻木缩小 ,感觉好转 ,皮肤质地 ,弹性 ,饱满度良好。结论　皮瓣切取简单 ,不需吻合血管 ,手术省时便捷 ,皮瓣血供好 ,为足跟部 ,踝部 ,足背部 ,膝下皮肤缺损提供了一种良好方法。更多还原

【Abstract】 Objective To investigate the reconstruction method for skin defect arornd foot dorsum,heel,malleolus,knee with exposure of bone and tendon.Method The sural nervous or sphenoid neurocutaneous vascular facial island flap was designed for repairing the wound of foot dorsum,heel,malleolus and knee,the width and length of the flaps pedicle were 3～4 cm and 3～7 cm respectively,the size of the flaps were from 8 cm/5 cm to 14cm/7cm.Eight cases were treated with this method,all the cases were followed up for 1.5～14 months.Results Eight cases had the flaps survived.There was a partial necrosis in the distal end of the flap in 1 case and this wound was healed by dressing-changing;Venous obstruction occulted in 1 case and this flap was abated in treatment of the relief incision,dehydration,and raising leg.The numbness of the medial and lateral foot was reduced in size, the sensation was improved,and the flaps had good appearance and function.The follow-up results were evaluated as satisfactory.Conclusion The operation is convenient,and the blood supply of the flaps is reliable.So it is an effective method for repairing the skin defect around foot dorsum,heel,malleolus and knee.更多还原