Minami A, Itoga H, Suzuki K
Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Microsurgery. 1990;11(4):278-81. doi: 10.1002/micr.1920110405.
The reverse-flow island flap is a relatively recent concept. We have applied this concept to the vascularized bone graft. We report a new method of the reverse-flow vascularized fibular graft for two patients with a pseudarthrosis and massive bone defect of the tibia. The peroneal artery and venae comitantes were severed proximally and elevated with the fibula while maintaining distal vascular continuity. The reverse-flow vascularized fibula was grafted to the posterior aspect of the bone defect of the tibia. Bony union was obtained in both cases. The reverse-flow vascularized fibular graft has many advantages compared with free vascularized fibular graft.
反流岛状皮瓣是一个相对较新的概念。我们已将这一概念应用于带血管蒂骨移植。我们报告了一种用于两名患有胫骨假关节和大块骨缺损患者的反流带血管蒂腓骨移植新方法。腓动脉及其伴行静脉在近端切断，并与腓骨一起掀起，同时保持远端血管连续性。将反流带血管蒂腓骨移植到胫骨骨缺损的后侧。两例均获得了骨愈合。与游离带血管蒂腓骨移植相比，反流带血管蒂腓骨移植有许多优点。
