小隐静脉腓肠神经营养血管筋膜皮瓣的临床应用

:,:26,,,:2,,;;:,,,;;R687A1005-8478(2003)06-0392-03ClinicalApplicationoftheFlapSuppliedbytheVascularAxisoftheSmallSapheonusVeinandSuralNerveLIANGJin,ZHANGQiang,WANGWei2guo,etal.DepartmentofOrthopedicSurgery,GeneralHospitalofJinanMilitaryCommand,Jinan250031AbstractObjective:Tosumuptheexperienceofclinicalapplicationofflapsuppliedbythevascularaxisofthesmallsuphenousveinandsuralnerveanddiscussthewayofenlargingtheflapandthefeaturesofitsbloodsupply.Methods:Aretro2spectivestudywasmadeon26casesoflegfractureswithskindefectchroniculcerorsofttissuedefectinlegfootorheelwithseveredAchillistendon.Results:Alltheflapssurvivedcompletelyexcept2casesofsmallnecrosisatthedistaledges.Followedfor6to30months,allfractureswerehealedandnoulcerorinfectionreoccurred.Theappearancesoftheflapsweresatisfactory.Conclusions:Theflapdoesnotimpairthemainvesselsoftheleg.Thebloodsupplyisreliablewith4bloodsupplyingsystems.Thebalanceismaintainedwellbetweenarterysupplyandveinflow.Itisanidealflapforrepairingthesofttissuedefectinleg,ankleandfootespeciallyaccompaniedwiththemainvesselimpairment.KeywordsFlap;SmallSapheonusVeinandSuralNerve;Reparation:,,250031:(19582),,,::(0531)21668011992Masquelet1643:,,,,6(5cm3cm),19971020028,26,25cm16cm,,:115cm,,,,,,,32,3,8,1,8,4.4cm,66.6%6/87/8,4.512cm,0.6mm,1mm,,5,Masquelet1:,,,,(in2terlacingnetwork),,29320033116OrthopJChin,Vol.11,No.6March200322.126,23,3,655:,5;5;32;3(110),5,4,225cm16cm,3cm3cm,,21X2X3456788891X101X2.2,,,,,5cm,,3cm,,,,,,15cm10cm,34cm,,,,,3cm,,,,,,,326,,6302,,,5,,1,6,235,44.14:14,439320033116OrthopJChin,Vol.11,No.6March2003,2,2,1,1,,3/4,25cm16cm,,,,:,,,,,,,,34cm3,,,,13,22cm14cm,25cm16cm,8cm,,,1,5.0cm,5cm,2,,,,,,2,2,,,2,,,,,,,4.2,,,,,,,,,,,,,,,4.3,,,55,4,,,,,,25cm16cm,,,,,,,,,,:1MasqueletAC,RomanaC,WoltG.SkinisandflapssuppliedbytheVascularaxisofsensitivesuperficialnerves:AnatomicstudyandclinicalexperienceinthelegJ.Plasticandre2constructivesurgery,1992,89(6):11151121.2,,,.J.,1985;8(3):209212.3,,,.J.,1985;8(3):213219.4NakajinraH,ImanishiN,FukuzumiS,etal.Accompanyingarteriesofthecutaneousstudyandcutsneousnervesintheextremities:anatomicalstudyandaconceptofthevenoad2ipofascialand/orneuroadipofascialpedicledfasciocutaneousflapJ.PlastReconstrSurg,1998,102:779791.5,.M.:,2000.(:20022112282002212214)49320033116OrthopJChin,Vol.11,No.6March2003