Lin C H, Wei F C, Chen H C, Chuang D C
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1999 Sep;104(4):984-92. doi: 10.1097/00006534-199909040-00013.
Lower-extremity injury may present as a composite soft-tissue and bone defect, resulting directly from trauma or subsequent debridements. These composite defects often require vascularized osteocutaneous flaps for an effective, staged reconstruction. Among various donor sites, the vascularized fibular flap is generally considered the best option because of its inherent advantages. However, when the fibular flap is not available, iliac and rib flaps become the alternative choices. The purpose of this retrospective study was to compare the functional results of the alternatively chosen bone flaps (iliac and rib flaps) with those of the fibular flaps.
下肢损伤可能表现为复合性软组织和骨缺损，直接由创伤或后续清创术导致。这些复合性缺损通常需要带血管蒂的骨皮瓣进行有效的分期重建。在各种供区中，带血管蒂的腓骨瓣因其固有优势通常被认为是最佳选择。然而，当无法使用腓骨瓣时，髂骨瓣和肋骨瓣就成为替代选择。这项回顾性研究的目的是比较替代选用的骨瓣（髂骨瓣和肋骨瓣）与腓骨瓣的功能结果。
