Herrera Fernando A, Lee Charles K, Kiehn Mark W, Hansen Scott L
Department of Surgery, University of California, San Diego, CA, USA.
Microsurgery. 2009;29(6):425-9. doi: 10.1002/micr.20620.
Complex wounds surrounding the knee and proximal tibia pose a significant challenge for the reconstructive surgeon. Most of these defects can be managed using local or regional flaps alone. However, large defects with a wide zone of injury frequently require microvascular tissue transfers to aid in soft tissue coverage and closure of large cavities. We describe a unique recipient vessel for microvascular anastomosis for free flap reconstruction involving the knee and proximal tibia through anatomic and clinical studies.
膝关节和胫骨近端周围的复杂伤口给重建外科医生带来了重大挑战。这些缺损大多仅通过局部或区域皮瓣即可处理。然而,伴有广泛损伤区域的大缺损常常需要进行微血管组织移植,以帮助覆盖软组织并闭合大的腔隙。我们通过解剖学和临床研究,描述了一种用于涉及膝关节和胫骨近端的游离皮瓣重建的独特微血管吻合受区血管。