逆行股前外侧岛状皮瓣修复膝关节周围软组织缺损

The reverse-flow anterolateral thigh island flap for reconstruction of soft-tissue defects around the knee joint: our experience

目的探讨采用逆行股前外侧岛状皮瓣修复膝关节周围严重创伤性软组织缺损的疗效。方法回顾性分析2008年至2012年,我院采用逆行股前外侧岛状穿支皮瓣修复膝关节周围严重创伤性皮肤软组织缺损8例,术后观察皮瓣存活情况和恢复情况。结果除1例皮瓣边缘小部分坏死,通过换药愈合外,其余皮瓣全部存活,皮瓣质地弹性好,外形满意。术后无明显感染及并发症。结论采用逆行股前外侧岛状穿支皮瓣修复膝关节周围严重创伤性软组织缺损,具有血供可靠、血管蒂较长等优点,术后疗效满意。

Objective To investigate the curative effect of reverse-flow anterolateral thigh island flap for reconstruction of soft tissue defects around the knee joint. Methods A retrospective analysis of 8 patients with severe traumatic soft tissue defect around the knee joint treated with the reverse-flow anterolateral thigh island flap in our hospital during 2008 to 2012 was performed. The survival and recovery of skin flaps were observed after operation. Results All flaps survived except one case of marginal necrosis. The skin flaps were good, and the shape was satisfied. There was no obvious infection and other complications. Conclusion The reverse-flow anterolateral thigh island flap with reliable blood supply and long vascular pedicle can be designed to repair soft tissue defects around knee joint, especially in the difficult cases.