| 外踝上动脉降支蒂逆行皮瓣修复足踝部软组织缺损 |
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投稿时间：2013-11-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 朱永东 |
ZHU Yong-dong |
中山市大涌医院骨科, 广东 中山 528467 |
Department of Orthopaedics, Dayong Hospital of Zhongshan City, Zhongshan 528467, Guangdong, China |
aigzyd@163.com |
| 覃茂林 |
TAN Mao-lin |
中山市大涌医院骨科, 广东 中山 528467 |
Department of Orthopaedics, Dayong Hospital of Zhongshan City, Zhongshan 528467, Guangdong, China |
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| 黎绍杰 |
LI Shao-jie |
中山市大涌医院骨科, 广东 中山 528467 |
Department of Orthopaedics, Dayong Hospital of Zhongshan City, Zhongshan 528467, Guangdong, China |
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| 邱盛春 |
QIU Sheng-chun |
中山市大涌医院骨科, 广东 中山 528467 |
Department of Orthopaedics, Dayong Hospital of Zhongshan City, Zhongshan 528467, Guangdong, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第3期，第258-260页 |
| DOI：10.3969/j.issn.1003-0034.2014.03.022 |
| 基金项目:中山市卫生局课题项目（编号：2013A020105） |
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中文摘要:
目的：评价外踝上动脉降支蒂逆行皮瓣修复踝、足部软组织缺损的临床疗效。
方法：自2009年5月至2013年10月利用外踝上动脉降支蒂逆行皮瓣修复踝、足部皮肤缺损合并肌腱、骨外露12例，男9例，女3例；年龄19～58岁，平均37.5岁。足背软组织缺损10例，踝部软组织缺损2例。缺损面积最大11 cm×9 cm，最小8 cm×5 cm.
结果：12例均获随访，时间3～12个月，平均7.3个月。9例皮瓣全部成活；3例皮瓣远端边缘坏死，经换药治愈。皮瓣除轻度肿胀外，无溃疡等发生。
结论：外踝上动脉降支蒂逆行皮瓣修复足部软组织缺损一期手术即可完成，具有血供可靠、切取简单安全、不损伤小腿的主要血管等优点。 |
| 【关键词】外科皮瓣 软组织损伤 足 踝 |
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| Lateral supramalleolar artery descending branch antidromic flap for the repair of soft tissue defects in the foot and ankle |
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ABSTRACT
Objective: To evaluate the effect of lateral supramalleolar artery descending branch antidromic flap for the repair of soft tissue defects in the foot and ankle.
Methods: From May 2009 to October 2013,12 patients with soft tissue defects combined with tendon and bone exposure in the foot and ankle were treated by lateral supramalleolar artery descending branch antidromic flap for the repair of soft tissue defects in the foot and ankle,including 9 males and 3 females with an average age of 37.5 years old ranging from 19 to 58 years. Ten cases had the soft tissue defects in the dorsum of foot and 2 in the ankle. The defect area of soft tissue was from 11 cm×9 cm to 8 cm×5 cm.
Results: Twelve patients were follow-up for 3 to 12 months(averaged 7.3 months). The flaps of 9 cases were survived,the flaps edges of the other 3 cases were necrosis,and healed after dressing change. The flaps were slightly swelling without ulcer occurrence.
Conclusion: Lateral supramalleolar artery descending branch antidromic flap can repairing the damage by one-stage operation with advantage of dissection easy,rich blood supply without sacrifice of major artery. |
| KEY WORDS Surgical flaps Soft tissue injuries Foot Ankle |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 朱永东,覃茂林,黎绍杰,邱盛春.外踝上动脉降支蒂逆行皮瓣修复足踝部软组织缺损[J].中国骨伤,2014,27(3):258~260 |
| 英文格式: | ZHU Yong-dong,TAN Mao-lin,LI Shao-jie,QIU Sheng-chun.Lateral supramalleolar artery descending branch antidromic flap for the repair of soft tissue defects in the foot and ankle[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(3):258~260 |
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