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[在开放性下肢骨折Ⅲ期使用筋膜皮瓣]

[Using fasciocutaneous flaps in open leg fractures stage III].

作者信息

Simon P

机构信息

Service de Traumatologie et d'Orthopédie, Hôpital Hautepierre, Hôpitaux Universitaires de Strasbourg, F-67098, Strasbourg Cedex, France.

出版信息

Eur J Orthop Surg Traumatol. 1996 Feb;6(1):11-2. doi: 10.1007/BF02718684.

DOI:10.1007/BF02718684
PMID:24193552
Abstract

The use of pedicular fascio-cutaneous flaps to cover Gustilo III fractures of the leg is based on the vascular anastomotic system of the fascia. This system is provided by aterial branches from the deep muscles in the proximal third of the leg and by direct fascio-cutaneous branches in the distal third. The different fascio-cutaneous flaps are described with particular attention to specific indication in tibial fractures.

摘要

使用带蒂筋膜皮瓣覆盖小腿的 Gustilo III 型骨折是基于筋膜的血管吻合系统。该系统由小腿近端三分之一处深层肌肉的动脉分支以及远端三分之一处的直接筋膜皮支提供。文中描述了不同的筋膜皮瓣，并特别关注胫骨骨折的具体适应症。

相似文献

1
[Using fasciocutaneous flaps in open leg fractures stage III].[在开放性下肢骨折Ⅲ期使用筋膜皮瓣]
Eur J Orthop Surg Traumatol. 1996 Feb;6(1):11-2. doi: 10.1007/BF02718684.
2
Management of Gustilo Anderson III B open tibial fractures by primary fascio-septo-cutaneous local flap and primary fixation: The 'fix and shift' technique.采用一期筋膜-皮下局部皮瓣及一期固定治疗 Gustilo Anderson III B 型开放性胫骨骨折：“固定并移位”技术
Indian J Orthop. 2017 Jan-Feb;51(1):55-68. doi: 10.4103/0019-5413.197532.
3
The anatomic basis and clinical applications of flaps based on the posterior tibial vessels.基于胫后血管的皮瓣的解剖学基础及临床应用
Br J Plast Surg. 1993 Sep;46(6):470-9. doi: 10.1016/0007-1226(93)90220-6.
4
[Is muscle the best coverage for leg Gustilo IIIb fractures? A retrospective comparative study].[肌肉是小腿 Gustilo IIIb 型骨折的最佳覆盖组织吗？一项回顾性比较研究]
Ann Chir Plast Esthet. 2008 Dec;53(6):473-9. doi: 10.1016/j.anplas.2008.04.005. Epub 2008 Oct 19.
5
Comparing Radiographic Progression of Bone Healing in Gustilo IIIB Open Tibia Fractures Treated With Muscle Versus Fasciocutaneous Flaps.比较肌肉瓣与筋膜皮瓣治疗 Gustilo IIIB 型开放性胫骨骨折骨愈合的影像学进展。
J Orthop Trauma. 2018 Aug;32(8):381-385. doi: 10.1097/BOT.0000000000001190.
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[Value of sural fascio-cutaneous flaps with distal pedicle for covering tissue loss of the lower third of the leg].带蒂腓肠神经营养血管筋膜皮瓣修复小腿下段软组织缺损的价值
Rev Chir Orthop Reparatrice Appar Mot. 1988;74 Suppl 2:324-7.
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A Gustilo Type 3B Open Tibial Fracture Treated with a Proximal Flexor Hallucis Longus Flap: A Case Report.采用踇长屈肌近端肌皮瓣治疗的 Gustilo 3B 型开放性胫骨骨折：病例报告
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[Covering losses of cutaneous substance of the leg and foot using skin flaps. Apropos of 76 cases].[应用皮瓣修复小腿及足部皮肤软组织缺损。附76例报告]
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(6):526-38.
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[Emergency cover of open fractures of the leg. Apropos of a series of 24 clinical cases].[小腿开放性骨折的急诊处理。基于24例临床病例]
Ann Chir Plast Esthet. 1994 Aug;39(4):473-9; discussion 480-1.
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[The fascio-cutaneous fibular island flap].[腓骨筋膜皮岛状皮瓣]
Ann Chir Plast Esthet. 2018 Jul;63(4):294-298. doi: 10.1016/j.anplas.2018.02.004. Epub 2018 May 4.

本文引用的文献

1
Cross-leg fasciocutaneous flaps.交腿筋膜皮瓣。
Plast Reconstr Surg. 1983 Dec;72(6):843-7. doi: 10.1097/00006534-198312000-00021.
2
A fasciocutaneous transposition flap for coverage of defects of the lower extremity.
J Bone Joint Surg Am. 1989 Aug;71(7):988-94.