关键词: 足背内侧皮神经营养血管皮瓣, 修复, 足背远端软组织缺损, Trophic vessels skin flap of medial dorsal cutaneous nerve of foot, Repair, Distal dorsal soft tissues defect

Abstract: Objective To investigate the clinical efficacy on the trophic vessels skin flap of medial dorsal cutaneous nerve of foot in the repair of distal dorsal defect of surface of wound. Methods From January 2008 to May 2009,15 cases with distal dorsal of surface of wound with trophic vessels skin flap of medial dorsal cutaneous nerve of foot in the repair of distal dorsal defect of surface of wound were analyzed retrospectively. Results 15 cases of skin flap were survival totally. The surface of wound was first attention and secondary intention in 13 and 2 cases respectively. The average follow-up time was ranged from 6 months(4~8). The skin flap sin color, natural constitution and quality, thick and thin were similar to recipient area skin. Algesia and thalposis were recovered totally. The patients walking was in normal weight carrying. No ulceration was found in the skin flap and skin of supplying dkin graft area. Conclusion The trophic vessels skin flap medial dorsal cutaneous nerve of foot possesses simplified operative manipulation, safe, reliable blood supply and it is a effective method for the repair of middle and minor area skin and soft tissues defect in the distal dorsum of foot.