Department of Orthopaedics, The Sixth Affiliated People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
J Reconstr Microsurg. 2010 May;26(4):243-9. doi: 10.1055/s-0030-1248232. Epub 2010 Mar 2.
A cross-leg or cross-bridge free flap is one of the choices for the reconstruction of serious leg soft tissue defects. Here, we report on six cases of leg and foot reconstruction with a distally based extended peroneal artery septocutaneous perforator cross-bridge flap without microvascular anastomoses. The vascular pedicle includes the peroneal artery, its perforator branch, and concomitant veins. The total pedicle length ranges from 10 to 14 cm, and the size ranges from 18 x 8 to 21 x 10 cm. All flaps survived completely without complications. Compared with a cross-leg or cross-bridge free flap, a distally based extended peroneal artery septocutaneous perforator cross-bridge flap without microvascular anastomoses does not require the use of some instruments or techniques for microsurgery, leading to a shorter operation duration and a lower risk of thrombosis in the vessel because microvascular anastomosis is not required.
交叉腿或交叉桥游离皮瓣是严重腿部软组织缺损重建的选择之一。在这里，我们报告了六例使用远端扩展腓动脉筋膜皮穿支交叉桥皮瓣而无需进行微血管吻合的腿部和足部重建病例。血管蒂包括腓动脉、其穿支分支和伴行静脉。总蒂长度为 10 至 14 厘米，大小为 18x8 至 21x10 厘米。所有皮瓣均完全存活，无并发症。与交叉腿或交叉桥游离皮瓣相比，无需进行微血管吻合的远端扩展腓动脉筋膜皮穿支交叉桥皮瓣不需要使用一些仪器或显微外科技术，因此手术时间更短，血管发生血栓的风险更低，因为不需要进行微血管吻合。
