【摘要】 目的介绍胫后动脉穿支皮瓣在小腿及足、踝部软组织缺损修复中的应用。方法应用胫后动脉穿支皮瓣修复软组织缺损13例,其中小腿下段3例,足跟5例,足背2例,内踝3例。结果所有皮瓣均完全存活,随访3~12个月,各皮瓣质地柔软,皮瓣不臃肿,外形美观,供区植皮均成活,无并发症。结论胫后动脉穿支皮瓣能以最小的供瓣区代价达到高效的修复效果,是一种修复小腿及足、踝部软组织缺损的理想术式。更多还原

【Abstract】 Objective To recommend the application of posterior tibial artery perforator flaps for repairing soft-tissue defects of lower leg,ankle and foot.Method From June 2007 to November 2006,13 pedicled perforator flaps were used to repair the soft-tissue defects of lower leg,ankle and foot.Among them,5 cases of soft-tissue defects of heel,2 cases of soft-tissue defects of instep,3 cases of soft-tissue defects of medial ankle,3 cases of soft-tissue defects of ventral leg. Results All the flaps were alive.The follow-up for 3~12 months revealed that these flaps were soft and complanate,with good shape.There are no complications in the donor sit. Conclusion The posterior tibial atery perforator flap is a perfect method to repair soft-tissue defect of lower leg,ankle and foot because of the minimal donor site "cost" and the maximal efficacy.更多还原