Kim Jeong-Tae
Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, 17, Haengdang-Dong, Seongdong-Gu, Seoul, 133-792, South Korea.
Clin Plast Surg. 2003 Jul;30(3):403-31. doi: 10.1016/s0094-1298(03)00041-5.
Although exact information on the distribution of reliable perforators has not been published, its underlying reproducible pattern may be experienced with clinical trials. The LD perforator flap is a typical example of thin perforator flap and it can be used widely as a resurfacing tool or reconstructive modality with various composition. Through clinical experience it was validated that a single reliable perforator is sufficient for perfusion of the entire flap. Finally, the perforator concept gives the surgeon the freedom to select, tailor, or compose the flap independently from the limited indications of the conventional flaps, according to the donor or pedicle problems. With increasing use of the perforator flap, the conventional flap can be expanded to its ultimate potential with more reliability.
尽管关于可靠穿支血管分布的确切信息尚未公布，但通过临床试验可能会发现其潜在的可重复模式。外侧股皮动脉穿支皮瓣是薄穿支皮瓣的典型例子，它可以作为一种具有多种组合的创面覆盖工具或重建方式被广泛应用。通过临床经验证实，单一可靠的穿支血管足以灌注整个皮瓣。最后，穿支血管概念使外科医生能够根据供区或蒂部问题，独立于传统皮瓣的有限适应证来选择、调整或组合皮瓣。随着穿支皮瓣使用的增加，传统皮瓣可以在更高的可靠性下发挥其最大潜力。
