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健侧胫后血管皮瓣桥供血的股前外侧游离皮瓣在小腿开放性骨折治疗中的应用 被引量:4

Clinical applications on anterolateral thigh free flap transfer bridged by posterior tibial vascular flaps from the healthy leg
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摘要 目的探讨小腿软组织缺损合并受区血管损伤无法作为供血血管时游离皮瓣移植的解决办法。方法设计以健侧胫后血管为轴心的舌形皮瓣,卷成皮管,作为血管蒂而携带游离皮瓣移植修复,将双下肢固定于平行位置。结果采用健侧胫后血管形成顺行皮管桥携带游离皮瓣移植修复伤肢创面缺损15例,皮瓣全部成活,创面修复。在双下肢固定于平行位置(并腿)的情况下,术后较易进行皮瓣观察、换药和功能锻炼。结论采用并腿方式固定双下肢,以健侧肢体胫后血管向游离股前外侧皮瓣供血,是解决患侧肢体大面积软组织缺损合并主干血管严重损伤的一种理想修复方法。 Objective To provide a clinical method in the treatment of soft tissue defect in lower extremities by anterolateral thigh free flap transfer in cases without usable blood vessels in receiving areas. Methods Posterior tibial vascular flaps were designed as supplying blood vessel pedicles to carry anterolateral thigh free flaps for soft tissue defect repair. Both lower extremities were fixed in a parallel style. Results Anterograde posterior tibial vascular flap with anterolateral thigh free flap transfer was applied successfully in 15 cases of lower limb defect reconstruction. All combined flaps survived, and defects were reconstructed. Compared to cross-leg flaps, it was more easier to observe blood supply of flaps, change dressing and functional exercise in parallel-leg style. Conclusions Parallel-leg style combined flap is an ideal method in free flap transfer in the cases with large soft tissue defects without usable blood vessels in the receiving area.
出处 《中国骨与关节杂志》 CAS 2015年第12期928-930,共3页 Chinese Journal of Bone and Joint
关键词 外科皮瓣 软组织损伤 骨折 开放性 显微外科手术 小腿 Surgical flaps Soft tissue injuries Fractures, open Microsurgery Leg
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