Battiston Bruno, Ciclamini Davide, Tang Jin Bo
U.O.C. Traumatology, Hand Surgery, Microsurgery, A.S.O. Città della Salute e della Scienza, CTO - Hospital, Via Gianfranco Zuretti, 29, 10126 Torino, Italy.
U.O.C. Traumatology, Hand Surgery, Microsurgery, A.S.O. Città della Salute e della Scienza, CTO - Hospital, Via Gianfranco Zuretti, 29, 10126 Torino, Italy.
Clin Plast Surg. 2017 Apr;44(2):287-297. doi: 10.1016/j.cps.2016.11.006. Epub 2017 Feb 9.
Novel and combined tissue transfers from the lower extremity provide new tools to combat soft tissue defects of the hand, foot, and ankle, or fracture nonunion. Flaps can be designed for special purposes, such as providing a gliding bed for a grafted or repaired tendon or for thumb or finger reconstruction. Propeller flaps can cover soft tissue defects of the leg and foot. In repairing severe bone and soft tissue defects of the lower extremity, combined approaches, including external fixators, one-stage vascularized bone grafting, and skin or muscle flap coverage of the traumatized leg and foot, have become popular.
来自下肢的新型联合组织移植为治疗手、足和踝关节的软组织缺损或骨折不愈合提供了新工具。皮瓣可设计用于特殊目的，例如为移植或修复的肌腱提供滑动床或用于拇指或手指重建。推进皮瓣可覆盖小腿和足部的软组织缺损。在修复下肢严重的骨和软组织缺损时，包括外固定器、一期带血管骨移植以及对受伤的小腿和足部进行皮肤或肌肉皮瓣覆盖等联合方法已变得很普遍。
