Los Angeles, Calif. From the Department of Orthopedics, University of Southern California Keck School of Medicine; and Kaiser Permanente Southern California.
Plast Reconstr Surg. 2013 Sep;132(3):387e-402e. doi: 10.1097/PRS.0b013e31829ae29f.
The elbow requires a durable and pliable soft-tissue envelope. Injuries, infections, or tumors that result in exposed tendon, bone, or implants require expedient soft-tissue coverage. Familiarity with various options for coverage can help tailor treatment to the defect size and minimize donor-site morbidity. In this article, emphasis is placed on muscle and fasciocutaneous flaps that have been shown to have reliable vascularity and predictable outcomes.
肘部需要一个耐用且柔韧的软组织囊。导致肌腱、骨骼或植入物暴露的损伤、感染或肿瘤需要及时的软组织覆盖。熟悉各种覆盖选择可以帮助根据缺陷大小定制治疗方案,并最大限度地减少供区发病率。本文重点介绍了已证明具有可靠血供和可预测结果的肌肉和筋膜皮瓣。