Yowler C J, Patterson B M, Brandt C P, Fratianne R B
Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109-1998, USA.
J Burn Care Rehabil. 2001 Jan-Feb;22(1):21-5. doi: 10.1097/00004630-200101000-00006.
Lower extremity amputations are occasionally required after high-voltage electric and deep thermal burns. The extensive loss of skin and soft tissue after these injuries may make it difficult to fashion below-knee amputation that will readily tolerate a prosthesis. We have found an osteocutaneous pedicle fillet flap of the foot useful in the salvage of below-knee amputation after severe burn injury. Three patients have undergone this procedure after burn injury, 1 with burn secondary to high-voltage electric injury and 2 after deep thermal burns. All became ambulatory with artificial prostheses. There were no postoperative infections and no need for further revisions. The osteocutaneous pedicle fillet flap of the foot has proven to be a reliable form of below-knee stump coverage in patients with extensive soft tissue necrosis after burn injury.
在高压电烧伤和深度热烧伤后，偶尔需要进行下肢截肢。这些损伤后皮肤和软组织的广泛缺失可能使制作能轻易耐受假肢的膝下截肢变得困难。我们发现足部带蒂骨皮瓣在严重烧伤后膝下截肢的挽救中很有用。3例患者在烧伤后接受了该手术，1例继发于高压电损伤，2例为深度热烧伤。所有患者均佩戴假肢行走。术后无感染，无需进一步修复。足部带蒂骨皮瓣已被证明是烧伤后广泛软组织坏死患者膝下残端覆盖的可靠方式。
