Taipei, Taiwan From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University.
Plast Reconstr Surg. 2011 Jan;127 Suppl 1:228S-238S. doi: 10.1097/PRS.0b013e3182008e12.
Developments in reconstructive microsurgery have heralded a new phase of limb-saving procedures. Although pedicled local fasciocutaneous or muscle flaps continue their useful role, microsurgical free tissue transfer is usually required for larger defects and also for areas without locoregional options. As this treatment modality has become more established, innovation and technical refinements have resulted in an evolution of flap surgery, including perforator and free-style free flaps, that has been applied to lower limb surgery. Effective outcome measures, bioelectronic prostheses, and composite tissue allotransplantation are the three major trends leading into a new era of lower limb reconstruction. This article outlines the role of microsurgical free tissue transfer for lower limb salvage and reconstruction.
重建显微外科的发展开创了肢体保存手术的新阶段。虽然带蒂局部筋膜皮瓣或肌肉瓣继续发挥其作用，但对于较大的缺损以及没有局部区域选择的区域，通常需要进行显微外科游离组织转移。随着这种治疗方式的建立，创新和技术改进导致了皮瓣手术的演变，包括穿支皮瓣和游离式游离皮瓣，已应用于下肢手术。有效的结果测量、生物电子假体和复合组织同种异体移植是引领下肢重建新时代的三大趋势。本文概述了显微外科游离组织转移在下肢保肢和重建中的作用。
