AlMugaren Faris M, Pak Changsik John, Suh Hyunsuk Peter, Hong Joon Pio
Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Plast Reconstr Surg Glob Open. 2020 Apr 30;8(4):e2774. doi: 10.1097/GOX.0000000000002774. eCollection 2020 Apr.
The ideal reconstruction of lower limb defects should replace like with like and minimize morbidity to the donor site, achieving the best possible esthetic and functional outcome. The goal is to obtain stable healing and to resume daily life in an efficient manner. Although the classical local flaps such as gastrocnemius, soleus muscle flap, and the reverse sural flap have allowed to achieve those goals, perforator flaps are now added on to the armamentarium in lower extremity reconstruction using local flaps. A perforator-based local flap, such as a propeller or keystone flap, has made reconstruction efficient while further reducing donor-site morbidity. This article aims to provide a useful review of the best available local flaps for lower limb defects.
下肢缺损的理想重建应做到以相似组织替代缺损组织，并将供区的发病率降至最低，以实现尽可能最佳的美学和功能效果。目标是实现伤口稳定愈合并高效恢复日常生活。尽管经典的局部皮瓣，如腓肠肌皮瓣、比目鱼肌皮瓣和逆行腓肠神经营养血管皮瓣已能实现这些目标，但现在穿支皮瓣已被纳入使用局部皮瓣进行下肢重建的手段之中。基于穿支的局部皮瓣，如推进皮瓣或关键皮瓣，提高了重建效率，同时进一步降低了供区发病率。本文旨在对用于下肢缺损的最佳可用局部皮瓣进行有益的综述。
