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題 名 | The Clinical Application of Plantar Marginal Septum Cutaneous Island Flap=足底緣皮瓣之臨床應用 |
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作 者 | 林文正; 蕭敦恆; 羅仁傑; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 8:1 1999.03[民88.03] |
頁 次 | 頁34-40 |
分類號 | 416.413 |
關鍵詞 | 足底緣皮瓣; Plantar marginal septum cutaneous island flap; forefoot wound; |
語 文 | 英文(English) |
中文摘要 | 前足部之傷口常造成韌帶,骨頭,及關節之裸露。此時平常之補皮常無法達到重建之目的,必須以皮瓣手術才能使傷口癒合並維持其功能。本篇所介紹之足底緣皮瓣 plantar marginal septum cutaneous island flap (PMSC) 首先於 1997 年由 Jaymes Augusto Bertelli, et al 所發表。在此以前,足部的傷口對整形外科醫生常是一種挑戰,此皮瓣提供了一個治療前足部傷口的方法,不同於以前曾被大家所使用的方法。內足底動脈之表淺分枝行至第一蹠骨時會和外足底動脈及第一蹠骨背側動脈吻合。藉著這些吻合可以設計出以內足底動脈之表淺分枝為逆行血流供應之表皮皮瓣。自 1997 年 11 月至 1999 年 1 月份,本院共完成五例 PMSC 皮瓣重建,此皮瓣之血流相當可信賴且難度不高,手術時間短,故很適合用於前足部複雜傷口之重建。 此外我們使用一個技巧,使皮瓣之 donor site 能得到較好之恢復結果。 |
英文摘要 | Soft tissue defects complicated with exposure of tendons, bones, ligaments and joints of the forefoot usually require flap coverage to achieve wound closure and functional preservation. Many reconstructive methods had been proposed, including flaps from toes, from foot, from local or distal flaps with larger or small arteries. But the coverage remained a formidable challenge, either due to large donor size sacrifice or possible morbidity, or due to variable reliability. The plantar marginal septum cutaneous island flap (PMSC) was first reported by Bertelli et al in 1997. It served as an alternative of the conventional methods to provide coverage of the forefoot. Before the development of this flap, the overage of forefoot remained a formidable challenge. The PMSC flap is a reversed-flow flap based on the superficial branch of the medial division of the medial plantar artery. The flap has a distal anastomosis with lateral plantar artery, first dorsal metatarsal artery (FDMA) and lateral branch of the medial plantar artery at the level over the neck of the first metatarsal- phalangeal area, so it is a reliable flap. We have successfully used this flap to reconstruct complicated forefoot wounds in 5 cases. Four of the harvested flaps had totally survived and one had partially survived and later healed by skin graft. In addition, we reposition the abductior hallucis muscle to cover the donor site of flap and then skin grafted. This method solves the problem of the donor site morbidity. |
本系統中英文摘要資訊取自各篇刊載內容。