Sinkin Jeremy C, Rudolph Megan, Akbari Cameron, Evans Karen F Kim
Department of Plastic Surgery, MedStar Georgetown University Hospital, Wash., DC; School of Medicine, George Washington University, Wash., DC; and Division of Vascular Surgery, MedStar Georgetown University Hospital, Wash., DC.
Plast Reconstr Surg Glob Open. 2016 Apr 6;4(4):e675. doi: 10.1097/GOX.0000000000000664. eCollection 2016 Apr.
Free tissue transfer to the proximal leg and knee requires appropriate recipient vessel selection. The popliteal vessels have historically been unpopular choices, due to their remote location often necessitating vein grafts, and need for prone positioning. In this report, we describe a lateral approach to the above-knee popliteal vessels, which was utilized for 2 cases of free tissue transfer to the lower extremity. Neither prone positioning nor vein grafts were needed. The lateral approach to the above-knee popliteal vessels and their branches is a viable option for the otherwise recipient vessel-depleted lower extremity.
将游离组织转移至大腿近端和膝关节需要选择合适的受区血管。由于腘血管位置较深，常常需要进行静脉移植，且需要俯卧位，因此一直以来都不是受欢迎的选择。在本报告中，我们描述了一种用于显露膝上腘血管的外侧入路，该入路应用于2例游离组织转移至下肢的病例。既不需要俯卧位，也不需要静脉移植。对于受区血管匮乏的下肢，显露膝上腘血管及其分支的外侧入路是一种可行的选择。
