London, United Kingdom From the Kennedy Institute of Rheumatology, University of Oxford.
Plast Reconstr Surg. 2012 Aug;130(2):284e-295e. doi: 10.1097/PRS.0b013e3182589e63.
Early vascularized soft-tissue closure has long been recognized to be essential in achieving eventual infection-free union. The question of whether muscle or fasciocutaneous tissue is superior in terms of promoting fracture healing remains unresolved. In this article, the authors review the experimental and clinical evidence for the different tissue types and advocate that the biological role of flaps should be included as a key consideration during flap selection.
早期血运重建的软组织闭合对于实现最终无感染性愈合至关重要，这一点早已得到认可。然而，在促进骨折愈合方面，肌肉或筋膜皮瓣哪种组织类型更优越的问题仍未得到解决。本文作者回顾了不同组织类型的实验和临床证据，并主张在选择皮瓣时，应将皮瓣的生物学作用纳入关键考虑因素。
