外踝動脈皮瓣術－四病例報告

The Lateral Calcaneal Artery Skin Flap-4 Cases Analysis

林聖哲(Sheng-Che Lin) ； 陳明庭(Ming-Ting Chen) ； 顏江龍(Chiang-Long Yen)

《中華民國重建整形外科醫學會雜誌》 2卷1期 (1993/03) Pp. 18-23

https://doi.org/10.7096/JPRSA.199303.0018

摘要

外踝動脈皮瓣是一簡單，有效又可靠的術式，它內含外踝動脈，小隱靜脈及腓腸神經，可提供薄，不佔體積，有彈性又有感覺的軟組織覆蓋，尤其是在阿肌里肌腱附近的足部較小面積的缺損。其缺點為供皮瓣區凹陷及感覺異常，如能在術前配合血流測向器或血管攝影則可靠性更高。本文提出四例患者與大家共同探討。

關鍵字

外踝動脈皮瓣 ； 島狀皮瓣

並列摘要

The reconstruction of soft tissue defects of Achilles tendon, malleoli, and posterior heel has been a great challenge to plastic surgeons. Although there are many local flaps, distal flaps, and free flaps to be chosen, all of them have its indications and limitations. The lateral calcaneal artery skin flap, which including lateral calcaneal artery, lesser saphenous vein and sural nerve, can provide a sensory, nonbulky, versatile flap with minlmal donor site morbidity. The proudure of this flap, either transposition or island, is simple and effective. Careful pre-operative vascular evalution of foot with Doppler flowmetry or angiogram is indicated for patients who are systemically compromised with trauma, diabetes or peipheral vascular diseases. So it is a good alternative method for soft tissue reconstruction around posterior heel. We present four cases to share the experiences of lateral calcaneal artery skin flap with you.

並列關鍵字

lateral calcaneal artery skin flap ； island flap