CAJ | 학술논문

目的介绍应用第2跖背动脉逆行筋膜岛状皮瓣修复足趾软组织缺损的手术方法.方法 2005年5月至2008年9月,对5例患者应用第2跖背动脉逆行筋膜岛状皮瓣修复足趾软组织缺损.皮瓣切取面积为2 cm×3 cm～5 cm×6 cm.结果 5例皮瓣全部成活,术后1～2个月恢复正常行走.随访5～7个月趾外形饱满,皮瓣质地良好,感觉基本恢复.结论以第2跖背动脉为血管蒂的逆行筋膜岛状皮瓣具有血供可靠,切取方便,质地优良等优点,是修复足趾软组织缺损的较好方法.
목적 개소응용제2척배동맥역행근막도상피판수복족지연조직결손적수술방법.방법 2005년5월지2008년9월,대5례환자응용제2척배동맥역행근막도상피판수복족지연조직결손.피판절취면적위2 cm×3 cm～5 cm×6 cm.결과 5례피판전부성활,술후1～2개월회복정상행주.수방5～7개월지외형포만,피판질지량호,감각기본회복.결론 이제2척배동맥위혈관체적역행근막도상피판구유혈공가고,절취방편,질지우량등우점,시수복족지연조직결손적교호방법.
Objective To report the application of reverse second dorsal metatarsal artery island flap for repairing the soft tissue defect at toes. Methods From May 2005 to Septemper 2008,5 cases with soft tissue defects at toes were treated with reverse second dorsal metatarsal artery island flaps. The flaps size ranged from 2 cm ×3 cm to 5 cm×6 cm. Results All the 5 flaps survived completely. The patients could walk 1～2 months after operation. The patients were followed up for 5～7 months with good appearance, texture and sensation of toes. Conclusion The reverse second dorsal metatarsal artery island flap has a reliable blood supply and good tissue texture. It is a practical method for repairing the soft tissue defect at toes.