目的探讨应用游离股前外侧穿支皮瓣移植修复胫前皮肤、软组织缺损的临床效果。方法对14例胫前皮肤、软组织缺损伴骨外露患者,应用游离股前外侧穿支皮瓣移植修复,皮瓣切取面积14cm×6cm～23cm×12cm,供区直接缝合或以全厚皮片植皮修复。结果术后14例皮瓣全部存活,创面一期愈合,术后随访3～24个月(平均8个月),皮瓣质地优良,无溃疡发生,8例获保护性感觉,骨折愈合后下肢可负重行走。结论股前外侧穿支皮瓣是修复胫前皮肤、软组织缺损的有效方法。

Objective To explore the clinical results of applying free anterolateral thigh perforator flap to repair skin and soft tissue defects in anterior tibial.Methods Fourteen cases of skin and soft tissue defect of anterior tibial with exposed bone using free anterolateral thigh perforator flap.The size of the flaps ranged between 14 cm × 6 cm and 23 cm × 12 cm.The donor area was directly closed or full-thickness skin grafting.Results All flaps survived in 14 cases.All patients were available for follow-up 3-24 months.The repaired tissue was in good match with surrounding tissue.Eight cases achieved protective sensation.Conclusion Anterolateral thigh perforator flap could be used to repair the soft tissue defects of anterior tibial and obtain good colour,contour.