Gravvanis Andreas, Kyriakopoulos Antonios, Kateros Konstantinos, Tsoutsos Dimosthenis
Andreas Gravvanis, Antonios Kyriakopoulos, Dimosthenis Tsoutsos, Department of Plastic Surgery-Microsurgery and Burn Center, General State Hospital of Athens "G Gennimatas", 15343 Athens, Greece.
World J Orthop. 2014 Nov 18;5(5):603-13. doi: 10.5312/wjo.v5.i5.603.
A literature search focusing on flap knee reconstruction revealed much controversy regarding the optimal management of around the knee defects. Muscle flaps are the preferred option, mainly in infected wounds. Perforator flaps have recently been introduced in knee coverage with significant advantages due to low donor morbidity and long pedicles with wide arc of rotation. In the case of free flap the choice of recipient vessels is the key point to the reconstruction. Taking the published experience into account, a reconstructive algorithm is proposed according to the size and location of the wound, the presence of infection and/or 3-dimensional defect.
一项针对皮瓣膝关节重建的文献检索显示，在膝关节周围缺损的最佳处理方法上存在诸多争议。肌皮瓣是首选方案，主要用于感染伤口。穿支皮瓣最近已被应用于膝关节覆盖，因其供区损伤小、蒂长且旋转弧度宽而具有显著优势。在游离皮瓣的情况下，受区血管的选择是重建的关键。考虑到已发表的经验，根据伤口的大小和位置、是否存在感染和/或三维缺损，提出了一种重建算法。
