Lewis V L, Mossie R D, Stulberg D S, Bailey M H, Griffith B H
Division of Plastic Surgery, St. Michaels Hospital, Toronto, Ontario, Canada.
Plast Reconstr Surg. 1990 Feb;85(2):252-7.
The exposed knee joint poses a challenge to the reconstructive surgeon. The currently popular approach to the repair of exposed knee joints is use of muscle flaps. However, this leaves the patient with a deficit. We have therefore begun using the fasciocutaneous flap as an initial approach to this problem. In seven patients, aged 28 to 74 years, fasciocutaneous flaps have been the reconstructive procedure of choice for repair of exposed knee joints. One patient with a very large open wound required a concomitant medial gastrocnemius muscle flap. One minor wound separation occurred in a paraplegic patient with severe spasm. No other complications occurred. Follow-up ranged from 3 to 12 months, with good success in wound closure. An approach to small and intermediate wounds is presented in which the V-Y technique is used to obviate the need for skin grafting of the donor site.
暴露的膝关节给重建外科医生带来了挑战。目前修复暴露膝关节的常用方法是使用肌皮瓣。然而，这会给患者留下功能缺陷。因此，我们开始使用筋膜皮瓣作为解决这一问题的首选方法。在7例年龄在28至74岁之间的患者中，筋膜皮瓣已成为修复暴露膝关节的首选重建方法。1例有非常大开放性伤口的患者需要同时使用内侧腓肠肌肌皮瓣。1例截瘫且伴有严重痉挛的患者出现了轻微的伤口裂开。未发生其他并发症。随访时间为3至12个月，伤口闭合效果良好。本文介绍了一种针对中小伤口的方法，即采用V-Y技术避免供区皮肤移植的需要。
