摘要目的 探讨以踝前皮支为蒂的V-Y推进皮瓣修复足背近端较小创面的方法及疗效.方法 2008年8月至2010年8月,对9例此类患者,采用以踝前皮支为蒂的V-Y推进皮瓣的转移修复,皮瓣面积为:6.0 cm ×5.5 cm～12.0 cm ×6.5 cm,供区直接缝合.结果 术后皮瓣完全成活,创面及供区切口均一期愈合.患者均获6～12个月随访,皮瓣质地与周围组织接近,外形无臃肿;皮瓣血运好,两点辨距觉10～14 mm.踝关节活动无障碍.结论 以踝前皮支为蒂的V-Y推进皮瓣是修复足背近端较小创面的较好方法之一.

abstractsObjective To investigate the therapeutic effect of V-Y flap pedicled with superior malleolus cutaneous branch for small skin defect at the dorsal side of foot.Methods From Aug.2008 to Aug.2010,9 cases with skin defects at the dorsal side of feet were treated by V-Y flaps pedicled with superior malleolus cutaneous branch.The flap size ranged from 6.0 cm × 5.5 cm to 12.0 cm × 6.5 cm.The defects at the donor sites were closed directly.Results All flaps survived completely.9 cases were followed up for 6-12 months after operation.The flaps had good texture and color match.The 2-point discrimination distance at the flap was 10-14 mm.The function of ankle was normal.Conclusions The V-Y flap pedicled with superior malleolus cutaneous branch is ideal for the treatment of small skin defect at the dorsal side of foot.