观察采用多种皮瓣修复下肢肌腱滑动性创面的临床效果，分析下肢肌腱滑动性创面的治疗策略。

2021年2月至2025年1月，首都医科大学附属北京积水潭医院烧伤整形与创面修复科收治符合入选标准的下肢肌腱滑动性创面患者20例，其中男16例、女4例，年龄23~68岁。致伤原因为下肢术后继发创面12例，创伤7例，感染1例。创面面积为2.0 cm×2.0 cm~5.0 cm×18.0 cm。根据创面情况采用不同皮瓣进行修复，包括腓肠神经营养皮瓣8例，游离股前外侧皮瓣5例，腓动脉穿支皮瓣4例，足背动脉皮瓣1例，跗外侧皮瓣1例及局部随意皮瓣1例。皮瓣面积为3.5 cm×9.0 cm~7.0 cm×21.0 cm。术后观察皮瓣成活情况及供受区创面愈合情况，随访观察并发症发生情况、皮瓣外观与质地及下肢功能。

20例患者均获得随访，随访时间1~48个月。术后皮瓣成活良好，皮瓣外形、质地理想，供区及受区创面愈合良好，下肢功能恢复满意。

对于下肢肌腱滑动性创面，采用多种类型皮瓣修复，联合术后局部制动与多阶段康复训练，可获得较满意的外形与功能重建效果。

To evaluate the clinical efficacy of diverse flap reconstructions for lower extremity tendon gliding wounds and analyze the treatment strategies for such defects.

From February 2021 to January 2025，20 patients with tendon gliding wounds of the lower extremity who met the inclusion criteria were admitted to the Department of Burn and Plastic Surgery，Beijing Jishuitan Hospital，Capital Medical University，including 16 males and 4 females，aged 23–68 years. The causes of injury included 12 cases of secondary wounds after lower extremity surgery，7 cases of trauma，and 1 case of infection. The wound area ranged from 2.0 cm×2.0 cm to 5.0 cm×18.0 cm. Diverse flap reconstructions were performed to repair the wounds，which included 8 cases of sural neurocutaneous vascular flaps，5 cases of free anterolateral thigh flaps，4 cases of peroneal artery perforator flaps，1 case of dorsalis pedis artery flap，1 case of lateral tarsal flap，and 1 case of local random pattern flap. The area of the flaps ranged from 3.5 cm×9.0 cm to 7.0 cm×21.0 cm. Flap viability，wound healing of donor and recipient sites，complications，flap appearance and texture，and lower limb function were assessed postoperatively and during follow-up.

All patients were followed up for 1–48 months. The flaps survived well with favorable appearance and texture. Both donor and recipient sites achieved satisfactory wound healing，and lower limb function recovered optimally.

For tendon sliding wounds of the lower extremity，the application of multiple types of flaps combined with postoperative immobilization and multi-stage rehabilitation training，could achieve satisfactory outcomes in both cosmetic reconstruction and functional recovery.