Koshima I, Higaki H, Soeda S
Department of Plastic Surgery, Kawasaki Medical School, Okayama, Japan.
Plast Reconstr Surg. 1991 Aug;88(2):338-41. doi: 10.1097/00006534-199108000-00030.
A free combined vascularized fibula and peroneal composite flap was transferred to the forearm in a patient with a severely damaged forearm following a heat-press injury. The operative technique, postoperative management, and subsequent clinical course are described, and the advantages of this method are outlined. Not only can the fibula now be used as a free vascularized bone graft in simple bone defects, but further applications, such as a combined fibula and peroneal composite flap, can be employed in the treatment of severely damaged forearms.
一名因热压伤导致前臂严重受损的患者接受了游离带血管腓骨及腓骨复合组织瓣移植至前臂的手术。本文描述了手术技术、术后处理及后续临床过程,并概述了该方法的优点。腓骨不仅可作为游离带血管骨移植用于单纯骨缺损,而且诸如腓骨及腓骨复合组织瓣等进一步的应用可用于治疗严重受损的前臂。