Scaglioni Mario F, Lindenblatt Nicole, Barth André A, Fuchs Bruno, Weder Walter, Giovanoli Pietro
Department of Plastic and Hand Surgery, University Hospital Zurich, Switzerland.
Balgrist University Hospital, Sarcoma Center-UZH University of Zurich, Switzerland.
Microsurgery. 2016 Nov;36(8):700-704. doi: 10.1002/micr.30124. Epub 2016 Oct 20.
Reusing tissue of amputated or unsalvageable limbs to reconstruct soft tissue defects is one aspect of the "spare parts concept." Using a free fillet flap in such situations enables the successful formation of a proximal stump with the length needed to cover a large defect from forequarter amputation without risking additional donor-site morbidity. The use of free fillet flaps for reconstruction after forequarter and traumatic upper extremity amputations is illustrated here in a case report. A 41-year old patient required a forequarter amputation to resect a desmoid tumor, resulting in an extensive soft-tissue defect of the upper extremity. A free fillet flap of the amputated arm and an additional local epaulette flap were used to reconstruct the defect. At 9 months after the procedure, a satisfactory result with a very well healed flap was attained. Free fillet flaps can be used successfully for reconstruction of large upper extremity defects, without risking additional donor-site morbidity. © 2015 Wiley Periodicals, Inc. Microsurgery 36:700-704, 2016.
利用截肢或无法挽救肢体的组织来重建软组织缺损是“备用零件概念”的一个方面。在这种情况下使用游离鱼际皮瓣能够成功形成近端残端，其长度足以覆盖前半侧截肢造成的大面积缺损，且不会增加供区并发症的风险。本文通过一例病例报告展示了游离鱼际皮瓣在前半侧截肢和创伤性上肢截肢后重建中的应用。一名41岁患者因切除硬纤维瘤需要进行前半侧截肢，导致上肢出现大面积软组织缺损。采用截肢手臂的游离鱼际皮瓣及额外的局部肩章皮瓣来重建缺损。术后9个月，皮瓣愈合良好，效果令人满意。游离鱼际皮瓣可成功用于重建上肢大面积缺损，且不会增加供区并发症的风险。© 2015威利期刊公司。《显微外科学》2016年第36卷，第700 - 704页。
