Free Medial Plantar Artery Perforator Flap in a 2-year Old - Our Experience and Surgical Modifications

二歲兒童之游離內側足底動脈穿支皮瓣腳趾－重建的經驗分享

陳加榮(Jill Chen) ； Siti Radhziah binte Sudirman ； 施翔順(Shih Hsiang-Shun)

《臺灣整形外科醫學會雜誌》 28卷1期 (2019/03) Pp. 49-54

摘要

Background: Traumatic defect of the big toe is common and reconstruction is essential for restoration of function. Medial plantar artery flap, free or pedicled, is a useful option for forefoot reconstruction, providing glabrous skin with minimal donor site morbidity. Objective: We report a case of right big toe pulp reconstruction with a free medial plantar artery flap in a 2-year old boy after traumatic amputation and the surgical modifications necessary to accommodate for the small calibre of the vessels in such a young patient. Material and Methods: 2-year old child with 3×2cm pulp defect in the right great toe. Reconstruction was performed with free medial plantar artery flap, using the dorsalis pedis artery and concomitant vein as recipient vessels. Results: Full flap survival and no functional deficit after 1 year follow up. Conclusion: Medial plantar artery flap is an option for pediatric toe reconstruction.

關鍵字

medial plantar artery flap ； toe reconstruction ； pediatric free flap

並列摘要

背景：創傷性大腳趾的缺陷很常見，必須藉由重建恢復功能。自由或帶蒂的足底內側動脈皮瓣是前足重建的選擇，提供glabrous skin且較低的捐贈區發病症。目的及目標：我們報告了一例利用自由內側足底動脈皮瓣重建2歲兒童大腳趾的經驗。材料及方法：2歲兒童自由內側足底動脈皮瓣重建。結果：皮瓣存活良好。結論：內側足底動脈皮瓣是兒童腳趾重建可行的選擇。