Katsaros J, Proudman T W
Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, Australia.
Br J Plast Surg. 1991 Nov-Dec;44(8):599-601. doi: 10.1016/0007-1226(91)90097-4.
Limb salvage procedures utilising tissue which would otherwise be discarded have become a well established practice in the management of trauma. These principles may also be utilised in the treatment of the burn injury. Two patients are presented with severe burns to the lower limbs involving muscle and bone where above knee amputation seemed inevitable. Salvage of the knee joint and conversion to a below knee amputation has been made possible by utilising the remaining skin of the sole of the foot based on a very long posterior tibial neurovascular pedicle ("Fillet of Sole" flap). This has provided full thickness sensate skin over the knee joint and below knee stump and has led to improved functional performance of the patient.
利用原本会被丢弃的组织进行肢体挽救手术，已成为创伤治疗中一项成熟的做法。这些原则也可用于烧伤的治疗。本文介绍了两名下肢严重烧伤累及肌肉和骨骼的患者，在这种情况下，膝上截肢似乎不可避免。通过利用基于非常长的胫后神经血管蒂的足底剩余皮肤（“足底皮瓣”），成功挽救了膝关节并改为膝下截肢。这为膝关节和膝下残端提供了全层有感觉的皮肤，并改善了患者的功能表现。
