Oberlin C, Alnot J Y, Duparc J
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Bichat, Paris.
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(6):526-38.
Between 1983 and 1987, 76 flap grafts were performed in the leg and foot. In general, 3 types of flap were used: --51 ipsilateral flaps, the majority of which were musculo-cutaneous flaps from the medial head of gastrocnemius (17 cases). --17 cross-leg flaps from the opposite limb, the majority of which were medial fascio-cutaneous flaps (13 cases). --8 free flaps, making use of microsurgical techniques. The indications for cross-leg flaps and free flaps have become more limited in favour of local regional pedicle flaps. The lower part of the leg and amputation stumps in the foot are easily covered by distal leg pedicle flaps and amputation stumps of the upper third of the leg can be covered by a flap of fascia lata with a distal pedicle based on the superolateral branches of the peri-articular plexus of the knee.
1983年至1987年间，在小腿和足部进行了76例皮瓣移植手术。一般来说，使用了3种类型的皮瓣：——51例同侧皮瓣，其中大多数是来自腓肠肌内侧头的肌皮瓣（17例）。——17例对侧肢体的交腿皮瓣，其中大多数是内侧筋膜皮瓣（13例）。——8例游离皮瓣，采用显微外科技术。交腿皮瓣和游离皮瓣的适应证已变得更加有限，更倾向于采用局部带蒂皮瓣。小腿下部和足部截肢残端很容易被小腿远端带蒂皮瓣覆盖，小腿上三分之一的截肢残端可用以膝关节周围神经丛上外侧支为蒂的阔筋膜瓣覆盖。
