CAJ | 학술논문

目的探讨外踝上动脉皮瓣带蒂逆行转移修复足背组织移植供区缺损的临床效果.方法 2008年10月至2012年9月,对11例手外伤其中6例行第二足趾加足背皮瓣游离移植,5例足背皮瓣移植的患者采用外踝上动脉皮瓣带蒂逆行转移,修复足背组织移植后供区缺损创面.术后对皮瓣外形满意度,痛触觉、温度觉、两点分辨觉及对患足功能行AOFAS评分.结果术后11例皮瓣全部顺利存活,供区伤口均Ⅰ期愈合.9例获得12～ 24个月的随访,2例失访.皮瓣具有较好的外形,伤口愈合良好,无瘢痕、疼痛及破溃发生,患者对皮瓣外形满意,术后12个月皮瓣两点分辨觉平均为(10.1±2.2)mm,感觉评级为S3+,患侧踝-足AOFAS评分平均为90.7分.结论外踝上动脉皮瓣带蒂逆行转移是修复足背供区的一种较好的方法,可减少足背供区并发症,恢复足部的良好外形和功能.
목적 탐토외과상동맥피판대체역행전이수복족배조직이식공구결손적림상효과.방법 2008년10월지2012년9월,대11례수외상기중6례행제이족지가족배피판유리이식,5례족배피판이식적환자채용외과상동맥피판대체역행전이,수복족배조직이식후공구결손창면.술후대피판외형만의도,통촉각、온도각、량점분변각급대환족공능행AOFAS평분.결과 술후11례피판전부순리존활,공구상구균Ⅰ기유합.9례획득12～ 24개월적수방,2례실방.피판구유교호적외형,상구유합량호,무반흔、동통급파궤발생,환자대피판외형만의,술후12개월피판량점분변각평균위(10.1±2.2)mm,감각평급위S3+,환측과-족AOFAS평분평균위90.7분.결론 외과상동맥피판대체역행전이시수복족배공구적일충교호적방법,가감소족배공구병발증,회복족부적량호외형화공능.
Objective To investigate the clinical application of pedicled for coverage of donor site defects resulted from dorsalis pedis flap transfer.Methods From October 2008 to September 2012,the flap pedicled on the lateral supramalleolar artery was reverse transferred to cover the defect on the dorsum of the foot resulted from dorsalis pedis flap harvest in 11 cases.Among these cases 6 had second toe combined with dorsalis pedis flap transfer and 5 had dorsalis pedis flap transfer.Postoperatively the appearance of the flaps,pain and touch sensation,temperature perception and two-point discrimination were evaluated.AOFAS assessment of donor foot function was performed.Results Flaps of the 11 cases all completely survived.Primary wound healing was achieved at the flap donor site.Nine cases were follow-up for 12 to 24 months while 2 were lost to follow-up.The flaps had good appearance.There were no excessive scar,pain or ulcer.The patients were satisfied with the aesthetic results.Perception of pain,temperature and touch was restored.At 12 months postoperatively,twopoint discrimination was (10.1 ± 2.2) mm on average.Sensory recovery was S3+,while the mean foot and ankle AOFAS score was 90.7.Conclusion Reverse transfer of pedicled lateral supramalleolar artery flap is a good option for coverage of dorsum foot soft tissue defect.It reduces donor site morbidity and restores good appearance and function of the donor foot.