关键词: 内踝上皮支皮瓣,  ,  , 糖尿病足,  ,  , 溃疡,  ,  , 显微外科手术

Abstract:

Objective　To explore the clinical application of the supra-malleolus perforator flap for repair of diabetic foot ulcers．Methods   From March 2012 to March 2015. There were 38 feet in 32 patients  developed diabetic foot ulcers with at least wagner II grade. The first medical treatment was to control blood glucose, then the supra-malleolus perforator flap was adopted to repair diabetic foot ulcers．Results  The flaps survived totally in 38 feet，and the distal partial necrosis and secondary free-skin grafting were further conducted in 2 cases. Thirty-two cases were followed-up for 2 to 18 months，the circulation，color and texture of the flaps were excellent．The appearance and function of ankle joints were good．Conclusion   The supra-malleolus perforator flap  has sufficient blood supply and a high survival rate；It is convenient in design，dissection and without sacrifice of major arteries. So，it is an effective method to repair diabetic foot  ulcers. This method is effective in improving the quality of life of patients.

Key words: Medial malleolus flap;  , Diabetes;  , Ulcer;  , Microsurgery