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用于放疗后肢体挽救的交腿游离皮瓣

Cross-leg free flap for limb salvage in the setting of radiation.

作者信息

Bishop Sarah N, Martinez-Jorge Jorys, Adabi Kian, Manrique Oscar J

机构信息

Division of Plastic and Reconstructive Surgery, Mayo Clinic Minnesota, Rochester, Minnesota, USA.

出版信息

BMJ Case Rep. 2018 Aug 10;2018:bcr-2018-224563. doi: 10.1136/bcr-2018-224563.

DOI:10.1136/bcr-2018-224563
PMID:30097544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6088303/
Abstract

Limb salvage in an irradiated patient with limited recipient vessels leaves few options for reconstruction. Cross-leg free flaps have been used to reconstruct defects that would otherwise lead to amputation in patients with no ipsilateral recipient vessels. We present the first documented case of a cross-leg free flap for limb salvage in a radiated bed after infection and tumour resection.

摘要

对于接受过放疗且可供吻合的受区血管有限的患者，保肢重建的选择很少。对于没有同侧受区血管的患者，以往会采用交叉腿游离皮瓣来重建缺损，否则这些缺损会导致截肢。我们报道了首例在感染和肿瘤切除后，利用交叉腿游离皮瓣在放疗后的术区进行保肢的病例。

相似文献

1
Cross-leg free flap for limb salvage in the setting of radiation.用于放疗后肢体挽救的交腿游离皮瓣
BMJ Case Rep. 2018 Aug 10;2018:bcr-2018-224563. doi: 10.1136/bcr-2018-224563.
2
Lower Extremity Limb Salvage with Cross Leg Pedicle Flap, Cross Leg Free Flap, and Cross Leg Vascular Cable Bridge Flap.采用交腿蒂皮瓣、交腿游离皮瓣及交腿血管桥接皮瓣进行下肢肢体挽救术。
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A cross flow-through pedicle free latissimus dorsi flap for high voltage electrical burns.一种用于高压电烧伤的横行穿支游离背阔肌皮瓣。
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Perforator-based propeller flaps treating loss of substance in the lower limb.穿支皮瓣推进技术修复下肢组织缺损
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[Limb salvage strategies for patients with high voltage electric burns of extremities on the verge of amputation].[濒临截肢的四肢高压电烧伤患者的保肢策略]
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本文引用的文献

1
Cross-leg Pedicled Free Scapular Flap for the Repair of Extensive Soft Tissue Defect with Tibial Bone Exposure.交腿带蒂游离肩胛皮瓣修复伴有胫骨骨质外露的大面积软组织缺损
Wounds. 2007 Feb;19(2):46-50.
2
Results of combined vascular reconstruction and free flap transfer for limb salvage in patients with critical limb ischemia.严重肢体缺血患者保肢的血管重建联合游离皮瓣移植术的结果
J Vasc Surg. 2015 May;61(5):1239-48. doi: 10.1016/j.jvs.2014.12.005. Epub 2015 Jan 13.
3
Repair of a large soft tissue defect in the leg with cross-leg bridge free transfer of a latissimus dorsi myocutaneous flap: a case report.背阔肌肌皮瓣桥式游离交叉腿转移修复小腿大面积软组织缺损：1例报告
Chin J Traumatol. 2012;15(6):373-5.
4
Repair of severe composite tissue defects in the lower leg using two different cross-leg free composite tissue flaps.使用两种不同的交腿游离复合组织瓣修复小腿严重复合组织缺损
Ann Plast Surg. 2012 Jan;68(1):83-7. doi: 10.1097/SAP.0b013e3181fe9351.
5
Repair of a wide lower extremity defect with cross-leg free transfer of latissimus dorsi and serratus anterior combined flap: a case report.背阔肌和前锯肌联合皮瓣交叉腿游离移植修复下肢大面积缺损：1例报告
Strategies Trauma Limb Reconstr. 2010 Dec;5(3):155-8. doi: 10.1007/s11751-010-0094-8. Epub 2010 Sep 18.
6
Arteriovenous vascular loops in free flap reconstruction of the extremities.肢体游离皮瓣重建中的动静脉血管袢
Plast Reconstr Surg. 2008 Feb;121(2):514-520. doi: 10.1097/01.prs.0000297634.53915.e5.
7
Secondary prevention of arteriosclerosis in lower limb vascular amputees: a missed opportunity.
Eur J Vasc Endovasc Surg. 2006 Nov;32(5):491-3. doi: 10.1016/j.ejvs.2006.07.005. Epub 2006 Aug 23.
8
Use of cross-leg latissimus dorsi free flap for repair of extensive lower leg electrical injury in a child.采用交腿背阔肌游离皮瓣修复儿童大面积小腿电烧伤
Burns. 2006 Jun;32(4):507-10. doi: 10.1016/j.burns.2005.10.018. Epub 2006 Apr 18.
9
Application of the cross-bridge microvascular anastomosis when no recipient vessels are available for anastomosis: 85 cases.无可供吻合的受者血管时采用跨桥微血管吻合术：85例。
Plast Reconstr Surg. 2004 Oct;114(5):1099-107. doi: 10.1097/01.prs.0000135331.08938.4a.
10
The cross-leg flap procedure.交腿皮瓣手术。
Plast Reconstr Surg (1946). 1952 Mar;9(3):173-204. doi: 10.1097/00006534-195203000-00001.