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| 題 名 | Reconstruction of Soft Tissue Defects in Heel-Ankle Areas with Lateral Supramalleolar Flap=使用外側上踝皮瓣來重建足跟及足踝部軟組織的缺損 |
|---|---|
| 作 者 | 顏江龍; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 25:5 民81.09-10 |
| 頁 次 | 頁1365-1372 |
| 分類號 | 416.413 |
| 關鍵詞 | 外側上踝皮瓣; 足跟; 足踝部; 軟組織缺損; |
| 語 文 | 英文(English) |
| 中文摘要 | 外側上踝皮瓣為一軸性皮瓣,可提供軟組織以供重建。如果將表面腓神經連同皮瓣一起取下,並與組織缺損部位的感覺神經接在一起,此皮瓣亦可提供感覺以防止足部受力部位發生潰瘍,故此皮瓣在足部的重建上實為一較好的選擇。自1989至1990兩年當中我們使用外側上踝皮瓣重建4個病例,其中兩例為島形皮瓣,另外兩例為旋轉皮瓣。在島形皮瓣的設計上我們修改了Masquelet等人的原始設計,使此皮瓣的應用更為廣泛,此一皮瓣設計上的修改並不會影響皮瓣的存活。 |
| 英文摘要 | The lateral supramalleolar flap is an axial cutaneous flap. It can provide sensation to the weight bearing area if the superficial peroneal nerve is anastomosed to the cutaneous nerve of the recipient site. We had reconstructed soft tissue defects on heel and ankle areas with lateral supramalleolar flaps in 4 cases. Two are island flaps and two are rotational flaps. We modified the original island flap design to extend its use in patient with questionable collateral circulation from pedis dorsalis and lateral plantar artery. The reconstructed wounds remain stable after following up for more than 1 year. The donor site morbidity is minimal. It is a good option for the soft tissue reconstructions on heel and ankle areas. |
本系統中英文摘要資訊取自各篇刊載內容。