Fang Taolin, Zhang Elizabeth W, Lineaweaver William C, Zhang Feng
From the *Department of Orthopaedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China; †Division of Plastic Surgery, University of Mississippi Medical Center, Jackson; and ‡JMS Burn and Reconstructive Center, Crossgates River Oaks Hospital, Brandon, MS.
Ann Plast Surg. 2013 Oct;71(4):429-33. doi: 10.1097/SAP.0b013e31824e5e6e.
Microsurgical free tissue transfer is playing a critical role in reconstruction of the soft tissue around the knee to salvage the limb, especially when the defects exist with a wide zone of injury or with a poor soft tissue condition, where local flaps are unavailable. For a successful free flap transfer, proper selection of a recipient vessel is essential and challenging. The survival and other outcomes of the transferred flaps were closely related to which recipient vessel was used and the location of anastomosis. In this article, we review most of the clinical reports about using free flaps to reconstruct the soft tissue around the knee, excluding the cases of postamputation, and discuss about the recipient vessels that can be used.
显微外科游离组织移植在膝关节周围软组织重建以挽救肢体方面发挥着关键作用，特别是当存在广泛损伤区域或软组织条件较差且无法使用局部皮瓣的缺损情况时。对于成功的游离皮瓣移植，正确选择受区血管至关重要且具有挑战性。移植皮瓣的存活及其他结局与所使用的受区血管及吻合位置密切相关。在本文中，我们回顾了大多数关于使用游离皮瓣重建膝关节周围软组织的临床报告（截肢术后病例除外），并讨论了可使用的受区血管。
