目的 探讨第2趾胫侧趾底动脉岛状皮瓣修复趾腓侧皮瓣供区的治疗方法.方法对18例趾腓侧皮瓣切取后无法直接缝合的供区创面,使用顺行第2趾胫侧趾底动脉岛状皮瓣转移修复,第2趾皮瓣供区直接缝合.结果本组18例第2趾胫侧岛状皮瓣全部成活,平均随访13个月,切口一期愈合,第2趾胫侧趾底动脉皮瓣质地柔软,色泽红润,外观无臃肿;皮瓣感觉恢复良好(S3+14例,S44例);第1趾蹼未见明显挛缩和医源性蹼状畸形.第2趾皮瓣胫侧皮瓣供区未见挛缩,第2趾趾间关节屈伸活动正常.结论利用第2趾胫侧趾底动脉岛状皮瓣修复趾腓侧皮瓣供区,能获得良好的临床疗效,符合供区关爱的要求.%Objective To discuss the therapeutic effect of using tibial island flap of second toe for the treatment of fibular hallux flap donor site defect. Methods From March 2012 to April 2015,18 tibial island flaps of second toe were transferred to repair donor site defect on fibular hallux that can not sutured directly, and the subsequent donor site wound on the second toe were sutured. Results On an average of 13 months follow-up, all 18 flaps survived with primary healing. Texture and appearance of the tibial island flaps were satisfactory; The flaps had good sensory recovery, S3 + in 14 patients and S4 in 4 patients. Severe contracture of the first toe web were not observed. The donor site of second toe got good recovery with normal activity of interphalangeal joint. Conclusions The tibial island flap of second toe is a good option for treatment of the defect on fibular hallux flap donor site. Meanwhile, it also meets the requirement of " donor site care" .
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