Isenberg J S
University of Oklahoma Health Sciences Center and Midwest Regional Medical Center, Midwest City, USA.
J Foot Ankle Surg. 2000 Jan-Feb;39(1):44-8. doi: 10.1016/s1067-2516(00)80063-0.
Reconstruction of the lower third of the leg and the forefoot remains a challenge due to a lack of regional muscle units and minimal subcutaneous tissues. Reverse island flaps have been applied to similar reconstructive problems in the upper extremity. Recently, the reverse sural artery neurocutaneous island flap has been utilized to reconstruct complex wounds of the lower extremity and forefoot in young and middle-aged individuals. We present our use of the flap in a patient cohort 65 years of age or older. Unique among this group was the high prevalence of diabetes and peripheral vascular disease. Nonetheless, the reverse sural artery neurocutaneous island flap proved a safe and reliable means of achieving wound closure.
由于缺乏局部肌肉单元且皮下组织极少，小腿下三分之一和前足的重建仍然是一项挑战。逆行岛状皮瓣已应用于上肢类似的重建问题。最近，逆行腓肠神经营养血管岛状皮瓣已被用于重建中青年患者下肢和前足的复杂伤口。我们报告了我们在65岁及以上患者群体中使用该皮瓣的情况。该群体的独特之处在于糖尿病和周围血管疾病的高患病率。尽管如此，逆行腓肠神经营养血管岛状皮瓣被证明是实现伤口闭合的一种安全可靠的方法。
