Wyble E J, Yakuboff K P, Clark R G, Neale H W
Department of Surgery, University of Cincinnati College of Medicine, OH 45267.
Ann Plast Surg. 1990 Feb;24(2):101-8. doi: 10.1097/00000637-199002000-00001.
Seventeen free flaps were used to reconstruct severe injuries to the foot over the last 36 months at the University of Cincinnati College of Medicine. The type of free flaps used included six fasciocutaneous free flaps and eleven free muscle flaps with split-thickness skin grafts. The fasciocutaneous flaps were either radial forearm or scapular flaps. The muscle flaps used were gracilis, rectus, or latissimus dorsi muscle flaps. Each type, with their specific advantages, disadvantages, and indications for use as they apply to the anatomical areas of the foot, are described. Regardless of the type of free flap used, careful preoperative planning, attention to the size and location of the anatomical defect, and correct contouring and insetting should allow for maximal functional result and minimize postoperative morbidity.
在过去36个月里，辛辛那提大学医学院使用了17个游离皮瓣来修复足部的严重损伤。所使用的游离皮瓣类型包括6个筋膜皮游离皮瓣和11个带刃厚皮片移植的游离肌皮瓣。筋膜皮瓣为桡侧前臂皮瓣或肩胛皮瓣。所使用的肌皮瓣为股薄肌、腹直肌或背阔肌肌皮瓣。文中描述了每种类型皮瓣在应用于足部解剖区域时的具体优缺点及使用指征。无论使用何种类型的游离皮瓣，术前仔细规划、关注解剖缺损的大小和位置以及正确的塑形和植入，都应能实现最大功能效果并将术后发病率降至最低。
