Both severed legs were replanted in a 41-year-old man. Bilateral tibia and fibula were shortened by 4 cm equally. Tibial fixation was performed with reconstruction plate. Four weeks after the replantation, active and ...Both severed legs were replanted in a 41-year-old man. Bilateral tibia and fibula were shortened by 4 cm equally. Tibial fixation was performed with reconstruction plate. Four weeks after the replantation, active and passive exercises were initiated in both of the knee joints. Four months after surgery, the patient was capable of walking independently for 20-30 m without the aid of crutches. After 28 months＇ follow-up, plantar sensitivity was defined as S3. This patient was satisfactory with the cosmetic and functional results.展开更多
Objective: To study the methods and techniques of free flap transfer bridged by posterior tibial vascular flap in treating large soft tissue defects in low limbs without usable recipient blood vessels. Methods: Based ...Objective: To study the methods and techniques of free flap transfer bridged by posterior tibial vascular flap in treating large soft tissue defects in low limbs without usable recipient blood vessels. Methods: Based on morphological observation and measurement of arterial pressure and blood flow, an antegrade and a retrograde vascular bridge flaps were designed using the healthy posterior tibial vessels to serve as vascular pedicles to carry two free flaps for transplantation. Results: Eight cases of patient with one or two large soft tissue defects in the leg region were treated by the method. All the bridge flaps and free flaps survived well, and the defects were repaired completely. Conclusions: The results showed that it is an ideal method for using the posterior tibial vessels from the healthy limb to form vascular pedicles in repairing large soft tissue defects in patients without a usable recipient blood vessel.展开更多
文摘Both severed legs were replanted in a 41-year-old man. Bilateral tibia and fibula were shortened by 4 cm equally. Tibial fixation was performed with reconstruction plate. Four weeks after the replantation, active and passive exercises were initiated in both of the knee joints. Four months after surgery, the patient was capable of walking independently for 20-30 m without the aid of crutches. After 28 months＇ follow-up, plantar sensitivity was defined as S3. This patient was satisfactory with the cosmetic and functional results.
文摘Objective: To study the methods and techniques of free flap transfer bridged by posterior tibial vascular flap in treating large soft tissue defects in low limbs without usable recipient blood vessels. Methods: Based on morphological observation and measurement of arterial pressure and blood flow, an antegrade and a retrograde vascular bridge flaps were designed using the healthy posterior tibial vessels to serve as vascular pedicles to carry two free flaps for transplantation. Results: Eight cases of patient with one or two large soft tissue defects in the leg region were treated by the method. All the bridge flaps and free flaps survived well, and the defects were repaired completely. Conclusions: The results showed that it is an ideal method for using the posterior tibial vessels from the healthy limb to form vascular pedicles in repairing large soft tissue defects in patients without a usable recipient blood vessel.
