摘要目的 探讨应用第2趾侧方皮瓣转移修复(足母)趾创面的手术方法及临床效果.方法 根据(足母)趾创面大小于第2趾胫侧设计皮瓣,皮瓣的轴心血管为胫侧趾底固有动脉,旋转点位于趾蹼间.临床修复13例(足母)趾创面,足部供区采用小腿全厚皮片植皮.结果 13例术后皮瓣均成活,足部供区植皮均成活,伤口一期愈合.患者均获随访,时间为6 ～48个月,平均18个月.皮瓣颜色、质地接近周围组织,外形不臃肿.结论 第2趾侧方皮瓣操作简便,旋转灵活,就地取材,是修复(足母)趾创面的理想皮瓣.

abstractsObjective To explore the application and effect of using the lateral second toe flap transfer for reconstruction of great toe defect.Methods The flap on tibial of second toe was designed according to the size of defect.The pedicle of the flap is the tibial proper plantar digital artery of the toe,and the rotation point is located between the toe web.13 cases of the great toe's defects were repaired by this method,with the donor sites covered by full thickness skin from the leg.Results 13 flaps survived postoperatively.All cases were subject to postoperative follow-up,follow-up time was 6-48 months,an average of 18 months.Skin color and texture was close to that of the surrounding tissues,appearance is not bloated.Conclusions The second toe lateral skin flap is easy to operate,is flexible for rotating.As local material,it is an ideal skin flap to repair the great toe defect.