Panse Nikhil S, Bhatt Yogesh C, Tandale Mangesh S
Department of Plastic Surgery, B.J. Medical College, Pune 411004, India.
Plast Surg Int. 2011;2011:349357. doi: 10.1155/2011/349357. Epub 2011 Oct 11.
We make an attempt to define the safe extent of local perforator flap for lower limb reconstruction by comparing it with the limb length of the patient. The maximum flap length from the perforator was compared to the limb length in 35 patients using EPI info 6.04 D software. On comparison of flaps that were less than one-third of limb length to those which were more than one-third of limb length, the statistical values were significant. The odds ratio calculated was 6, which means that there is a six times more chance that a local perforator flap will necrose if it is more than one-third of the limb length as compared to a flap which is less than one-third of the limb length.
我们试图通过将局部穿支皮瓣与患者肢体长度进行比较，来确定用于下肢重建的局部穿支皮瓣的安全范围。使用EPI info 6.04 D软件，将35例患者从穿支处测量的皮瓣最大长度与肢体长度进行比较。比较长度小于肢体长度三分之一的皮瓣和长度大于肢体长度三分之一的皮瓣，统计值具有显著性差异。计算出的比值比为6，这意味着与长度小于肢体长度三分之一的皮瓣相比，长度大于肢体长度三分之一的局部穿支皮瓣坏死的可能性要高出六倍。
