跗外侧动脉岛状皮瓣逆行转移修复踇趾软组织缺损

Lateral Tarsal Artery Insular Flap to Close Big Toe Cutaneous Defect

摘要: 目的：探讨足踇趾软组织缺损的修复方法。方法：在足背外侧设计以足背动脉为蒂的跗外侧动脉皮瓣逆行转移修复踇趾缺损，皮瓣供区取全厚皮片移植。结果：29例跗外侧动脉皮瓣及植皮全部成活，感觉及外形恢复良好。结论：足背动脉蒂跗外侧动脉岛状皮瓣逆行转移修复踇趾缺损，皮瓣有神经支配，解剖位置较恒定，皮瓣蒂部较长。

Abstract: Objective: To investigate the clinical method of closing cutaneous defect on big toe injury. Methods: Lateral tarsal artery insular flap was designed as a reverse flow flap to close big toe defect in dorsal lateral foot while perforating branch of lateral tarsal artery as turning point. Donor site was covered by skin-grafting. Results: Nine cases survived satisfactorily good shape and regaining sensory. Conclusion: Lateral tarsal artery insular flap can be used in converaged of big toe defect; it was a flap with constant anatomy and to regain the sensory of big toe.