CAJ | 학술논문

目的探讨足跗外侧动脉岛状皮瓣修复足前部皮肤缺损的临床疗效.方法 2007年3月至2009年1月,应用足跗外侧动脉逆行岛状皮瓣修复足前部皮肤缺损患者12例.结果 12例皮瓣均完全成活.随访8 ～ 22个月,平均13个月.皮瓣及皮片质地柔软,色泽与周围正常皮肤相似,外观无臃肿,无需二期皮瓣修整.受区皮瓣感觉以深痛觉为主,皮瓣边缘1 ～2 cm范围有浅触觉和痛觉恢复,即皮瓣边缘感觉为S1 ～S2级.供区皮片有浅触觉和痛觉恢复,未发现皮瓣磨损及破溃,穿鞋无影响,患者步态正常.结论跗外侧动脉岛状皮瓣对足部的影响较小,是修复足前部软组织缺损的良好选择.
목적 탐토족부외측동맥도상피판수복족전부피부결손적림상료효.방법 2007년3월지2009년1월,응용족부외측동맥역행도상피판수복족전부피부결손환자12례.결과 12례피판균완전성활.수방8 ～ 22개월,평균13개월.피판급피편질지유연,색택여주위정상피부상사,외관무옹종,무수이기피판수정.수구피판감각이심통각위주,피판변연1 ～2 cm범위유천촉각화통각회복,즉피판변연감각위S1 ～S2급.공구피편유천촉각화통각회복,미발현피판마손급파궤,천혜무영향,환자보태정상.결론 부외측동맥도상피판대족부적영향교소,시수복족전부연조직결손적량호선택.
Objective To investigate the therapeutic effect of island flap pedicled with lateral tarsal artery for forefoot skin defect.Methods From March 2007 to January 2009,12 cases with forefoot skin defects were treated by reversed island flap pedicled with lateral tarsal artery.Results All the flaps survived completely with a followed-up period of 8-22 months,13 months in average.The flaps and skin grafts had soft texture and a similar color as the surrounding skin.The flaps had a suitable thickness with deep pain sensation.Shallow touch and pain sensation recovered in the skin graft and within 1-2 cm of the flap edge,which was graded as S1-S2.There was no problem in shoes-wearing and walking.No flap ulcer happened.Conclusion Island flap pedicled with lateral tarsal artery is suitable for forefoot skin defect,leaving less morbidity to donor site.