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逆行股前外侧皮瓣修复膝前皮肤缺损二例报告

[Coverage of anterior knee defect by reverse flow anterolateral thigh flap: About two cases].

作者信息

Montoya-Faivre D, Pineau V, Colson T, Brix M, Simon E

机构信息

Service de chirurgie plastique et maxillo-faciale, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy, France.

Service de chirurgie plastique et maxillo-faciale, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy, France.

出版信息

Ann Chir Plast Esthet. 2016 Aug;61(4):287-91. doi: 10.1016/j.anplas.2015.06.004. Epub 2015 Jul 11.

Abstract

The coverage of soft-tissue defects concerning the front of the knee and the proximal lower leg is a complex procedure. The reverse flow anterolateral thigh flap represents a good solution for this defects, especially when the coverage surface is large-sized and a free flap is not appropriate regarding the difficulty of the process. Flap retrograde vascularization is based on the anastomosis between the descending branch of the circumflex femoral artery and lateral superior genicular artery. It is an easy solution with low morbidity. The authors have chosen this flap to cover soft-tissue defect of anterior knee from two patients with total knee prothesis.

摘要

膝关节前部和小腿近端软组织缺损的覆盖是一个复杂的过程。逆行股前外侧皮瓣是解决此类缺损的良好方法,特别是当覆盖面积较大且因手术难度大而不适宜采用游离皮瓣时。皮瓣的逆行血管化基于旋股动脉降支与膝上外侧动脉之间的吻合。这是一种简单且发病率低的解决方法。作者选择该皮瓣来覆盖两名全膝关节置换患者的膝关节前部软组织缺损。

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