Contedini F, Negosanti L, Fabbri E, Pinto V, Tavaniello B, Sgarzani R, Cipriani R
Plastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, Italy.
Case Rep Orthop. 2012;2012:205029. doi: 10.1155/2012/205029. Epub 2012 Mar 29.
Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible option. We report a case of a male with a severe posttraumatic wound of the lower leg with exposed tibia fracture firstly treated with two consecutive latissimus dorsi muscular free flaps, failed for vascular thrombosis; the coverage was then achieved with a cross-leg flap with acceptable results.
伴有软组织缺损和开放性骨折的小腿创伤后伤口，由于局部组织和受区血管稀少，是重建手术的一大挑战。即使能够进行游离组织移植，失败的风险仍然很大。当游离皮瓣为禁忌证或游离皮瓣失败后，如今交腿皮瓣仍是一种可行的选择。我们报告一例男性患者，其小腿严重创伤后伤口伴有胫骨开放性骨折，最初连续两次采用背阔肌游离肌皮瓣治疗，但因血管血栓形成而失败；随后采用交腿皮瓣覆盖，效果尚可。
