临床骨科杂志2017，Vol.20Issue(2)：224-226,3.DOI:10.3969/j.issn.1008-0287.2017.02.039
胫后动脉穿支皮瓣逆行修复老年腓骨长短肌腱外露及皮肤软组织缺损
Posterior tibial artery perforator flap for retrograde repair on elderly peroneal tendon exposure and skin soft tissue defects
摘要
Abstract
Objective To investigate the clinical efficacy of repairing peroneus longus and brevis muscle tendons exposure and soft tissue defects in elderly patients by retrograde perforating flap of posterior tibial artery.Methods Twelve elderly patients with peroneal tendon exposure and skin soft tissue defects were treated by posterior tibial artery perforator flap.Blood flow of the anterior and posterior tibial artery were examined by color Doppler flow imaging, and an appropriate perforating flap of posterior tibial artery was designed and cut out.The size scope of flaps were 12.0 cm×2.5 cm~15.0 cm×15.0 cm.Results All cases were followed up for 6~18 months, all the flaps survived with a satisfied appearance and the color,quality, elasticity of the flaps were fine, the flaps were substantially as good as the surrounding tissue in 10 cases, while in the other 2 cases, the flaps were bloated of different degrees, after reshaping,they became as good as the surrounding tissue.The donor sites healed well.All the 12 patients could tolerate weight-bearing walking without postoperative pain.Besides, sensory function of all flaps were at least S3 degree.Conclusions For elderly patients with peroneus longus and brevis muscle tendons exposure and soft tissue defects, this flap is an ideal solution which has a high survival rate and little effect on the donor sites.关键词
胫后动脉穿支皮瓣/腿损伤/软组织缺损/显微外科手术/老年人Key words
posterior tibial artery perforator flap/leg injuries/soft defect/microsurgery/aged分类
医药卫生引用本文复制引用
尤庆国,刘伟,梁晓宗,汪翔,王昌义,温贤金,彭肃豹,余斌..胫后动脉穿支皮瓣逆行修复老年腓骨长短肌腱外露及皮肤软组织缺损[J].临床骨科杂志,2017,20(2):224-226,3.基金项目
广东省医学科学技术研究项目(编号:A2015510) （编号:A2015510）
佛山市十三五医学重点专科和特色专科建设项目(编号:FSZDZK135059) （编号:FSZDZK135059）
