大理大学学报 ›› 2021, Vol. 6 ›› Issue (8): 74-76.DOI: 10. 3969 / j. issn. 2096-2266. 2021. 08. 017

• 临床医学 • 上一篇    下一篇

游离股前外侧穿支皮瓣修复前足软组织缺损的临床疗效

杨杜明   

  1. (大理市第一人民医院骨科,云南大理 671000)
  • 收稿日期:2020-01-06 修回日期:2020-04-02 出版日期:2021-08-15 发布日期:2021-09-29
  • 作者简介:杨杜明,主治医师,主要从事创伤、显微研究。

Clinical Effects of Free Anterolateral Thigh Flap in Repairing Soft Tissue Defects of the Forefoot

Yang Duming   

  1. (Department of Orthopedics, The First People s Hospital of Dali City, Dali, Yunnan 671000, China)
  • Received:2020-01-06 Revised:2020-04-02 Online:2021-08-15 Published:2021-09-29

摘要: 目的:探讨应用游离股前外侧穿支皮瓣修复前足软组织缺损的临床疗效。方法:应用股前外侧穿支皮瓣游离移植修复
前足软组织缺损20 例,皮瓣切取面积最小4.0 cm × 3.0 cm,最大18.0 cm × 8.0 cm,皮瓣供区均直接缝合。结果:术后皮瓣全部
成活16 例,皮瓣完全坏死1 例,皮瓣远端部分坏死3 例;随访患者18 例,随访时间3~12 月,皮瓣大部分外观良好,前足受
区功能恢复满意。结论:采用游离股前外侧穿支皮瓣修复前足软组织缺损疗效良好。

关键词: 穿支皮瓣, 前足, 软组织缺损

Abstract: Objective: To explore the clinical effects of free anterolateral thigh flap in repairing soft tissue defects of the forefoot.
Methods: Free anterolateral thigh flap was used to repair 20 cases of soft tissue defects in the forefoot. The minimum flap removal
area was 4.0 cm × 3.0 cm, and the maximum was 18.0 cm × 8.0 cm. The flap donor area is sutured directly. Results: All 16 flaps survived
completely, 1 flap was completely necrotic, and 3 flaps were partially necrotic. Eighteen patients were followed up for 3-12 months.
Most of the flaps were good in appearance, and the function of the forefoot receiving area was satisfactory. Conclusion: Free anterolateral
thigh flap is effective in repairing soft tissue defects of the forefoot.

Key words: thigh flap, forefoot, soft tissue defects

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