关键词：足内侧皮瓣；足背动脉；筋膜皮支
【摘要】 目的 报道足背动脉内侧筋膜支为蒂的足内侧皮瓣的设计及临床应用结果。方法 对足内侧区皮肤筋膜血供的进一步观测，发现足背动脉内侧筋膜支恒定，为该区的重要血供来源。据此设计了可达10cm×8cm的足内侧皮瓣。临床用于修复足背、踝部、前足、小腿下端及手部软组织缺损18例。结果 术后皮瓣全部成活，效果良好，供区损害轻。结论 足背动脉内侧筋膜分支是足内侧皮瓣的可靠血管蒂。该皮瓣是修复足背、踝部、小腿下端及前足软组织缺损的一种理想的组织瓣。
The medialis pedis flapbased on the medial fasciocutaneous branches of the dorsal pedal artery
LIU Fanggang,LIU Yi,YU Qiang,etal.
Department of Orthopaedics, The 359th Hospital of People's Liberation Army, Zhenjiang212001
【 Abstract 】 Objective Thisis to report the design and application of the medialis pedis flap.Methods Basedon the medial fasciocutaneous branches of the dorsal pedal artery,a medialis pedis flapcan be raised.The flap had been used in 18 patients with soft tissue defects of the dorsumpedis,ankle region,lower leg or hand.Results The anatomic observation ofthe blood supply to the medial region of the foot showed that a constant distribution offasciocutaneous branches issued from the dorsal pedal artery was an important blood supplyto this area.All flaps used in the 18 patients survived completely with satisfactoryresults and minimal morbidity at the donor site.Conclusion We believethat the medial fasciocutaneous branches of the dorsal pedal artery are the reliablepedicle of the medialis pedis flap.The flap is useful for reconstruction of the softtissue defects around the foot,ankle,lower leg or hand.
【 Key words】 Medialis pedis flapDorsal pedal artery Fasciocutaneous branches
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