Suri Manav P, Friji M T, Ahmad Quazi G, Yadav Prabha S
Division of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Parel, Mumbai, India.
Ann Plast Surg. 2010 Apr;64(4):462-5. doi: 10.1097/SAP.0b013e3181b4c371.
The proximally based sural artery flap presents distinct advantages in reconstruction of knee and lower thigh defects including thin sensate flap, reduced donor-site morbidity with good aesthetic outcome. However there are few reports in the literature regarding this flap. This study presents our experience with use of this flap in 37 patients. A retrospective study was performed over a 6-year period (from January 2003 to October 2008) using proximally based islanded sural artery flap for the lower thigh, knee, and upper leg defects following tumor excision defects. There were no complete failures in the series with only one flap requiring additional bipedicled flap for the necrosis of distal margin. All donor sites were closed with split thickness skin graft, with skin paddle sizes ranging up to 23 x 10.5 cm. All patients achieved a good final outcome. The authors found the proximally based islanded sural artery flap to be a simple and reproducible technique to perform and have greater reach up to the lower thigh. It provides thin pliable skin with minimal compromise to either appearance or function. The flap is suitable in the regional reconstruction around the knee as a pedicled flap.
以近端为蒂的腓肠动脉皮瓣在修复膝关节和大腿下段缺损方面具有明显优势，包括皮瓣薄且有感觉、供区并发症少且美观效果好。然而，文献中关于该皮瓣的报道较少。本研究介绍了我们在37例患者中使用该皮瓣的经验。对6年期间（2003年1月至2008年10月）的病例进行回顾性研究，采用以近端为蒂的岛状腓肠动脉皮瓣修复大腿下段、膝关节和小腿上段肿瘤切除术后的缺损。该系列中没有完全失败的病例，只有1例皮瓣因远端边缘坏死需要额外的双蒂皮瓣。所有供区均采用中厚皮片移植闭合，皮瓣面积最大可达23×10.5 cm。所有患者最终均获得良好效果。作者发现，以近端为蒂的岛状腓肠动脉皮瓣操作简单、可重复性强，且能延伸至大腿下段。它提供薄而柔韧的皮肤，对外观和功能的影响最小。该皮瓣作为带蒂皮瓣适用于膝关节周围的局部重建。
