- 期刊
Distal Foot Reconstruction with Distally Based Extensor Digitorum Brevis Muscle Flap-Report of Two Cases
逆轉式伸趾短肌皮瓣用於遠端足部的重建－病例報告
摘要
足部背側遠端三分之一的軟組織之重建，對整形外科而言，仍是一具挑戰性的工作。有許多不同的足部重建手術包括局部皮瓣或帶血管莖的島狀皮瓣與游離皮瓣等都各有其適應性及固有的缺點。逆轉式伸趾短肌皮瓣可重建足部遠端三分之一小範圍的軟組織缺損，其優點為血管莖連同皮瓣可覆蓋至足背踱趾骨關節處，血管莖在解剖學上的變異性不大，肌肉厚度適中而不需額外手術，及供皮瓣區傷口可以直接縫合。 我們成功利用逆轉式伸趾短肌皮瓣來重建足部遠端三分之一處軟組織缺損的兩個病例，都可以得到良好的覆蓋。因此我們建議逆轉式伸趾短肌皮瓣在一些足部遠端軟組織缺損的重建上是值得採行的方法之一。
關鍵字
無資料並列摘要
Soft tissue defects over the distal one-third of the dorsal foot continue to present challenges to the surgeon. Various forms of coverage, including local rotation flaps, muscle flaps, and fascial and free flaps, have their specific indications and inherent disadvantages. The distally based extensor digitorum brevis muscle flap has the advantages of long arc of rotation, small and thin muscle belly, consistent and reliable blood supply, and minimal donor site morbidity. When the extensor digitorum brevis is used as reverse-flow flap, its entire muscle belly can be used for covering small defect in the distal one-third of the dorsal foot. We have used this flap successfully in one-stage reconstruction in two patients, and resulted in stable soft tissue coverage.
延伸閱讀
- Chen, J. A., Feng, G. M., Yao, S. F., Liu, Y. T., & Chen, H. C. (2011). 以前外側大腿皮瓣來重建足跟－病例報告. 臺灣整形外科醫學會雜誌, 20(2), 136-141. https://doi.org/10.7096/TJTSPS.201106.0136
- Yu, C. M., Chang, S. H., Tung, K. Y., Huang, W. C., & Hu, K. C. (2016). 使用交足式逆行內側足底動脈皮瓣處置複雜腳跟創傷重建後之持續性傷口─病例報告. 臺灣整形外科醫學會雜誌, 25(2), 153-162. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201606-201607050022-201607050022-153-162
- Liao, H. H., Chuang, S. L., & Chou, M. C. (2003). 應用迷你足背動脈自由皮瓣重建手部皮膚軟組織缺損. 中山醫學雜誌, 14(2), 335-340. https://doi.org/10.30096/CSMJ.200305.0015
- Chen, C. Y., Wu, C. J., & Wang, C. H. (2020). 前外側大腿螺旋式皮瓣用於膝部傷口重建－病例報告. 臺灣整形外科醫學會雜誌, 29(4), 289-295. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-202012-202102020017-202102020017-289-295
- Chen, C. T., Wei, F. C., Chen, H. C., Chuang, C. C., & Chen, H. T. (1994). 利用顯微手術轉移足部軟組織皮瓣做指腹之重建. 中華民國重建整形外科醫學會雜誌, 3(1), 20-26. https://doi.org/10.7096/JPRSA.199403.0020