Department of Plastic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, China.
J Am Coll Surg. 2013 Sep;217(3):461-71. doi: 10.1016/j.jamcollsurg.2013.03.029. Epub 2013 Jul 24.
Cross-leg flaps are a good choice for reconstructing traumatized lower extremities, especially when free flaps cannot be used. In this article, we present our experience in the treatment of traumatic lower extremity wounds by using cross-leg flaps.
A total of 56 patients suffering traumatic lower extremities were treated with cross-leg flaps. Patients with diabetes mellitus and those who were heavy smokers were also included in this study.
Most flaps survived without complications. Flap necrosis occurred in 2 cases. The hospital stay was 20.0 ± 6.2 days and the flaps were divided at 13.3 ± 2.8 days. The diabetes patients were mostly elderly, and they had longer hospital stays and duration for flap division. Follow-up was an average of 16.2 ± 8.2 months.
The cross-leg flap is an effective and simple method for treating traumatic lower extremity wounds. It should have priority over microsurgery, not just be an alternative to it.
跨腿皮瓣是修复创伤性下肢的良好选择，特别是在无法使用游离皮瓣时。本文介绍了我们应用跨腿皮瓣治疗创伤性下肢创面的经验。
共 56 例创伤性下肢患者接受跨腿皮瓣治疗。本研究还纳入了患有糖尿病和重度吸烟的患者。
大多数皮瓣无并发症存活。2 例出现皮瓣坏死。住院时间为 20.0±6.2 天，皮瓣分离时间为 13.3±2.8 天。糖尿病患者多为老年人，住院时间和皮瓣分离时间较长。平均随访 16.2±8.2 个月。
跨腿皮瓣是治疗创伤性下肢创面的一种有效、简单的方法。它应该优先于显微外科手术，而不仅仅是作为其替代方法。
