CAJ | 학술논문

目的探讨螺旋桨状腓浅神经营养血管皮肤筋膜瓣修复足背皮瓣供区的方法及效果.方法对足背皮瓣切取后供区创面,设计以外踝上穿支为蒂,通过皮下筋膜层扩大切取的腓浅神经营养血管皮肤筋膜瓣(皮肤宽度4～6 cm)旋转180.修复；供区直接拉拢缝合,受区皮下筋膜层表面一期或二期移植皮片修复.结果 2007年5月至2011年10月临床应用7例,皮肤筋膜瓣最大切取面积30 cm×11 cm,最小19 cm×8 cm,皮瓣均全部成活.术后随访9～ 23个月,足踝外形及功能恢复满意,可正常穿鞋行走；修复手背皮肤肌腱联合缺损的足背趾长伸肌腱皮瓣全部成活,至少部分恢复主动伸指功能(2例进行了二期肌腱松解术).结论该皮瓣血供确切,旋转修复距离足够,小腿供区仅留线状缝合瘢痕,适用于不同面积足背皮瓣切取后供区创面的修复.
목적 탐토라선장상비천신경영양혈관피부근막판수복족배피판공구적방법급효과.방법 대족배피판절취후공구창면,설계이외과상천지위체,통과피하근막층확대절취적비천신경영양혈관피부근막판(피부관도4～6 cm)선전180.수복；공구직접랍롱봉합,수구피하근막층표면일기혹이기이식피편수복.결과 2007년5월지2011년10월림상응용7례,피부근막판최대절취면적30 cm×11 cm,최소19 cm×8 cm,피판균전부성활.술후수방9～ 23개월,족과외형급공능회복만의,가정상천혜행주；수복수배피부기건연합결손적족배지장신기건피판전부성활,지소부분회복주동신지공능(2례진행료이기기건송해술).결론 해피판혈공학절,선전수복거리족구,소퇴공구부류선상봉합반흔,괄용우불동면적족배피판절취후공구창면적수복.
Objective To report the operative techniques and clinical results of modified superficial peroneal neurocutaneous propeller adipofascial-cutaneous flap for reconstruction of donor site defects at foot dorsum.Methods A propeller adipofascial flap with a skin pedicle(4-6 cm in width) based on the lateral superamalleolar perforating artery which vascularized the flap through the nutrient vessel chain of the superficial peroneal nerve was designed to repair defects after harvesting of foot pedicled dorsal flap.The defects at donor site of the leg was closed directly and split-thickness skin grafting was performed on the adipofascial surface of the flap primarily or secondarily.Results From May 2007 to Oct.2011,7 cases were treated.All flaps were transplanted successfully with satisfactory cosmetic and functional results.The flaps size ranged from 19 cm × 8 cm to 30 cm × 11 cm.Conclusions The flap has reliable blood supply with a relatively large vascularized area,long rotation arc and minimum donor-site cosmetic morbidity.It' s a simple and safe procedure which is suitable for covering donor sites defects after harvesting foot pedicled dorsal flap.