Baumeister R G, Frick A
Mikro-, Hand-, wiederherstellende Chirurgie, Chirurg. Klinik u. Poliklinik d. Univ. München, Klinikum Grosshadern, Bundesrepublik Deutschland.
Langenbecks Arch Chir Suppl Kongressbd. 1991:587-92.
A comparison is presented of free myocutaneous flaps, e.g. latissimus dorsi flap, gracilis flap and the inferior gluteal flap, with fasciocutaneous flaps, especially the scapular/parascapular flap, for covering defects of the lower leg and the foot. Myocutaneous flaps are especially suited to cover deep defects with loss of bone and provide a good basis for free bone grafting. Fasciocutaneous flaps are better suited to cover plain defects, having a good blood supply due to the rich epifascial vascular network. They are thinner than the myocutaneous flaps and in extensive defects they do not need additional free skin transplantation in the recipient area.
本文比较了游离肌皮瓣（如背阔肌瓣、股薄肌瓣和臀下肌瓣）与筋膜皮瓣（尤其是肩胛/肩胛旁皮瓣）用于覆盖小腿和足部缺损的情况。肌皮瓣特别适合覆盖伴有骨质缺损的深部缺损，并为游离骨移植提供良好的基础。筋膜皮瓣更适合覆盖浅表缺损，由于其丰富的筋膜上血管网而具有良好的血供。它们比肌皮瓣更薄，在大面积缺损时，受区无需额外的游离皮肤移植。
