腓动脉主穿支蒂腓肠神经营养血管皮瓣修复跟腱区创面

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1、万方数据22主堡墼丝丛登苤查!!!!生!旦箜!!鲞筮!塑!!!!!!!!塾!!堡!!塑：!!!；!∑!!：!!：盟!：!腓动脉主穿支蒂腓肠神经营养血管皮瓣修复跟腱区创面陈雪松陈建明肖茂明王元山徐永清管力张黎明江珉李彦林-临床论著·【摘要】目的探讨应用改良腓肠神经营养血管皮瓣修复跟腱区创面的方法及疗效。方法设计切取以最低位腓动脉主穿支为蒂的矩形腓肠神经营养血管皮瓣，修复跟腱后皮瓣旋转180。，远、近端交换覆盖创面。供区一般直接缝合，个别病例需小面积全厚植皮。结果2005年6月至2008年10月临床应用15例

2、，皮瓣切取面积13cin×15CB～18cm×9cm，均全部成活。术后随访10～17个月，足踝功能良好，外形轮廓接近正常。结论该皮瓣血供确切，修复后外形平整美观，利于正常穿鞋行走，适用于跟腱区创面缺损的修复。【关键词】外科皮瓣；腓肠神经；跟腱ModifiedsuralneurocutaneousvascularflapbasedonsingledominantperforatorarisingfromperonealarteryforcoverageofdefectsoverachillestendonC

3、HENXue—song‘，CHENJian—ruing，XIAOMao—ruing。WANGYuan—shan。XUYong—qing．GUANLi，ZHANGLi-ming，jlANGMin，L1Yan—lin．‘DepartmentofOrthopedics，FirstAffiliatedHospitalofKunmingMedicalCollege，Kunming650032，ChinaCorrespondingauthor：LIYah—lin【Abstract】ObjectiveToreportt

4、heoperativetechniquesandclinicalresultsofspeciallydesignedsara]neurocutaneousvascularflappedicledonadominantperforator(thediameter≥0．8mm)oftheperonealarteryforcoverageofsofttissuedefectsoverlyingtheAchillestendon．MethodsAnapproximatelyrectangularsuralneur

5、ocutaneousvascularflappedicledonthelowestdominantperforatorarisingfromtheperonealarterywasdesignedandharvestedtorepairdefectsovertheAchillestendon．Thepediclewaslocatedatacertainpartoftheflap，whichdividedtheflapintothedistalandtheproximalparts．Afterthetend

6、onwasrepaired．theflapwasrotated180。basedontheperforatorandthepositionofthedistalandproximalpartsoftheflapwaschangedtocoverthedefectsandpartofthedonorsiterespectively．Inmostcases，skingraftwasnotneeded．ResultsThemodifiedflapswereappliedin15cases．Allflaps(ra

7、ngedfrom13amx15cm～18cmx9cm)weretransplantedsuccessfullywithoutnecrosis，andnovascularproblemsoccurred．Followingupfor10—17monthsshowedbothsatisfactoryfunctionalandcosmeticresults．ConclusionsThemodifiedflaphasreliablebloodsupplyandthespecialdesignprovidesnea

8、rlynormaloutlineoftheanklewhichfavoritesshoewearing．It’SanexcellentoptionforcoveringdefectsoverlyingtheAchillestendon．【Keywords】Surgicalfalp；Suralnerve；Achillestendon跟腱区皮肤软组织缺损修复的常用方法有各类带蒂皮瓣‘11及游离皮瓣或复合组织瓣㈨，但均有不D01：1