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我们在行足底内侧皮瓣移植时,发现一例足底内侧动脉缺如,报告如下。男性,50岁。因左足跟部慢性角化瘤20余年,影响走路,要求手术治疗而入院。查体:一般状态良好,左足跟有一约3×4cm~2大之角化瘤,中央部磨破,形成溃疡。入院后在硬膜外麻醉下拟行左足跟角化瘤切除、足底内侧皮瓣转移修复术。术中先解剖出胫后动脉,至分裂韧带下份未发现足底内侧动脉,仅见胫后动脉向下延续为足底外侧动脉,沿足底外侧前行,沿途发出数支细小肌支,再由足底肌肉发出肌皮
We are in the plantar medial flap transplantation, found a case of medial plantar absence, the report is as follows. Male, 50 years old. Due to left heel chronic keratosis more than 20 years, affecting walking, requiring surgical treatment and admission. Physical examination: the general state is good, with a left heel about 3 × 4cm ~ 2 large angle of the tumor, the Ministry of central wear and tear, the formation of ulcers. After admission, epidural anesthesia is planned to be performed with left hemiarthropathy and medial plantar flap transfer and repair. In the first dissection of the posterior tibial artery to the division of the ligament was not found in the medial plantar artery, only to see the posterior tibial artery continued down to the lateral plantar artery, along the lateral peduncle forward along the way issued by several small muscle branches, and then Muscle skin from the plantar muscle