Cavadas Pedro C, Sercan Ercin Burak, Thione Alessandro
Reconstructive Surgery Unit, ClinicaCavadas, Hospital de Manises, Valencia, Spain; and Plastic Surgery Unit, Ege University, Izmir, Turkey.
Plast Reconstr Surg Glob Open. 2017 Apr 13;5(4):e1286. doi: 10.1097/GOX.0000000000001286. eCollection 2017 Apr.
In complex lower limb trauma, the healthy recipient vessels can be far from the defect to be reconstructed due to the usually high-energy injury sustained. The use of vein grafts, either directly or in the form of arteriovenous loops, is the usual solution in these cases. In the vein graft donor-depleted patient, other options are required; the composite arteriovenous radial conduit flap may be a useful resort in these situations.
在复杂的下肢创伤中,由于通常遭受高能量损伤,健康的受区血管可能距离需要重建的缺损部位较远。在这些情况下,通常的解决办法是直接使用静脉移植物或以动静脉袢的形式使用。对于静脉移植物供体匮乏的患者,需要其他选择;复合动静脉桡动脉管道皮瓣在这些情况下可能是一种有用的手段。