| 腓动脉穿支蒂螺旋桨皮瓣修复足踝部软组织缺损 |
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投稿时间：2016-09-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘建 |
LIU Jian |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
qiancheng@hotmail.com |
| 黄凯 |
HUANG Kai |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 沈立峰 |
SHEN Li-feng |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 王健 |
WANG Jian |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 郭峭峰 |
GUO Qiao-feng |
浙江省立同德医院, 浙江 杭州 310012 |
Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第12期，第1088-1091页 |
| DOI：10.3969/j.issn.1003-0034.2016.12.005 |
| 基金项目:浙江省中医药科技计划基金资助项目（2011ZA005） |
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中文摘要:
目的：探讨腓动脉穿支蒂螺旋桨皮瓣修复足踝部软组织缺损的临床疗效。
方法：自2012年6月至2014年4月，采用腓动脉穿支蒂螺旋桨皮瓣治疗足踝部软组织缺损患者20例，其中男14例，女6例；年龄8~64岁，平均（36.2±4.6）岁；缺损面积5 cm×2 cm~22 cm×7 cm。损伤至手术时间8~90 d，平均（38.2±6.2） d。末次随访时采用美国足踝外科学会（AOFAS）踝-后足评分进行临床疗效评价。
结果：20例均获随访，时间6~24个月，平均（13.5±2.2）个月。皮瓣外观及质地良好。手术时间90~210 min，平均（120±32） min。19例皮瓣全部存活，1例出现皮瓣部分坏死予再次清创植皮术后治愈。末次随访时AOFAS评分为（93.1±10.0），其中优14例，良6例。
结论：腓动脉穿支蒂螺旋桨皮瓣治疗足踝部软组织缺损安全有效，临床疗效满意。 |
| 【关键词】穿支皮瓣 软组织缺损 足 踝 |
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| Repairing ankle and foot injuries with perforator-based propeller flaps |
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ABSTRACT
Objective: To evaluate clinical effects of repairing ankle and foot injuries with perforator-based propeller flaps.
Methods: From June 2012 to April 2014,20 patients with soft tissue defects on the foot and ankle were treated by perforator-based propeller flaps,including 14 males and 6 females with an average age of (36.2±4.6) years old ranging from 8 to 64 years. Area of soft tissue defect varied from 5 cm×2 cm to 22 cm×7 cm. The time from injury to operation ranged from 8 to 90 days, with an average of (38.2±6.2) days. AOFAS scoring were applied to evaluate therapeutic effects.
Results: All patients were followed up from 6 to 24 months with an average of (13.5±2.2) months. Appearance and quality of flap were good. Operation time was 90 to 210 min,with an average of (120±32) min. Nineteen flaps were survived successfully,the flap edge of 1 case was necrosis and healed after free skin grafting. A good contour was confirmed on the recipient area. The total AOFAS score was (93.1±10.0) at the final following-up,14 cases obtained excellent results and 6 cases were good.
Conclusion: Perforator-based propeller flaps for ankle and foot injuries has advantages of safe,effectivity and could receive good results. |
| KEY WORDS Perforator flaps Soft tissue defect 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: | 刘建,黄凯,沈立峰,王健,郭峭峰.腓动脉穿支蒂螺旋桨皮瓣修复足踝部软组织缺损[J].中国骨伤,2016,29(12):1088~1091 |
| 英文格式: | LIU Jian,HUANG Kai,SHEN Li-feng,WANG Jian,GUO Qiao-feng.Repairing ankle and foot injuries with perforator-based propeller flaps[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(12):1088~1091 |
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