特殊形式穿支皮瓣移植修复小儿双下肢巨大面积软组织缺损一例

Special forms of perforator flap in reconstruction of complex and exceptionally large defects of both lower extremities in child:A case report

2017年1月,收治1例双下肢巨大面积软组织缺损的患儿,采用显微削薄腹壁下动脉穿支皮瓣(DIEPF)修复右小腿创面,左侧显微削薄Flow-through股前外侧穿支皮瓣(ALTPF)、右侧显微削薄ALTPF和左侧改良背阔肌肌皮瓣修复左小腿和足部创面。术后2年随访,双下肢皮瓣无明显臃肿,左足底皮瓣感觉恢复至S 3,行走、跑步无障碍,双侧大腿、腹部和背部皮瓣供区仅遗留线形瘢痕。

A child who suffered a complex and exceptionally large soft tissue defects of both lower extremities and feet was referred in January,2017.A debulking deep inferior epigastric perforator(DIEPF)was used to cover the defect in right shank.The defects in left shank and foot were reconstructed by latissimus dorsi flap and bilateral debulking anterolateral thigh perforator flap(ALTPF).Two years after operation,the appearance and texture of both lower limbs were good,and the child could walk and run almost normally.There were slightly noticeable scars left in both thighs and the back.