【摘要】 目的:介绍外踝上逆行岛状筋膜皮瓣修复足部严重电烧伤、热压伤的疗效。方法:自2001年以来,我科共利用外踝上逆行岛状筋膜皮瓣修复踝部电烧伤5例,足背热压伤4例,足跟部慢性溃疡3例。结果:12例皮瓣,10例全部成活,2例皮瓣因蒂部张力过大而致其远端部分坏死。术后随访6个月～4年,外形满意,功能良好,均重返工作岗位。结论:该术式具有操作简单,供瓣面积大,血运可靠,且不牺牲小腿主要动脉。该皮瓣对于小腿中下1/3、足跟、内、外踝及足背等较大面积缺损的修复,是一种较理想的方法,值得临床推广应用。更多还原

【Abstract】 Objective:To introduce outcome of treating foot deep burn of electrical injury and crush thermal injury using reverse lateral supramalleolar artery island fascio-cutaneous flap.Methods:A reverse island fasciocutaneous flap was applied to repair 5 cases of the electrical burn injury and 4 cases of crush thermal injury at the dorsum of the foot and 3 cases of the caleaneal region ulcers.Recruits:10cases of 12 flap grafting were survived,2eases were partial necrosis in the farest end because of pedicel tension being justo major.During postoperation follow up of a period of 6 months-4 years,satisfactory results in function and cosmetic point were obtained.All returned their positions of the job.Conclu- sions:The operation is a simple,easy to operate way.It has such an advantage as a large flap available without sacrifice of a main blood vessel.It is an excellent method for repair of the deep bum in the lower 1/3 part of leg, in the heel,inner and lateral malleolus,dorsum pedis.It is valuable to populize.更多还原