Suda A J, Thoele P, Heppert V G
Abteilung für Septische Chirurgie, Knochen-, Gelenk- und Protheseninfektionen, BG-Unfallklinik Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland,
Unfallchirurg. 2014 Jan;117(1):61-9; quiz 70-1. doi: 10.1007/s00113-013-2528-5.
Soft tissue defects in the distal lower leg region are challenging to treat, especially in trauma cases. To achieve early closure of the defect, pediculated adipofascial or muscle flaps can be used as well as free flaps. The pediculated adipofascial suralis flap has a reliable blood supply and a broad radius so this flap can be used for almost every defect location on the distal lower leg except for defects larger than 10 × 10 cm. The donor site defect does not lead to major problems and is well tolerated. The soleus flap can cover defects in the middle third and proximal distal third of the lower leg with its muscle. The donor site defect is occasionally associated with reduced calf functioning but is tolerated well most of the time. Because of these advantages, the pediculated adipofacial suralis flap and the soleus muscle flap can be used instead a microvascular free flap for the closure of defects in the distal lower leg region.
小腿远端区域的软组织缺损治疗具有挑战性，尤其是在创伤病例中。为了早期闭合缺损，可使用带蒂脂肪筋膜瓣或肌瓣以及游离瓣。带蒂腓肠肌脂肪筋膜瓣血供可靠且旋转半径大，因此该瓣可用于小腿远端几乎所有的缺损部位，但缺损大于10×10 cm的除外。供区缺损不会导致重大问题，且耐受性良好。比目鱼肌瓣可利用其肌肉覆盖小腿中1/3和远侧1/3近端的缺损。供区缺损偶尔会导致小腿功能下降，但大多数情况下耐受性良好。由于这些优点，带蒂腓肠肌脂肪筋膜瓣和比目鱼肌瓣可替代微血管游离瓣用于闭合小腿远端区域的缺损。
