Guignard R M, Krupp S
Service de Chirurgie Plastique et Reconstructive, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Ann Plast Surg. 1986 May;16(5):399-409. doi: 10.1097/00000637-198605000-00007.
Free vascularized transfers have recently provided new perspectives on soft tissue replacement. Their main advantage over conventional pedicle flaps is the shortened hospital stay and overall treatment, particularly in traumatic injuries of the lower leg. Our review of 15 consecutive cases of free flaps show a high rate of early complications (33% surgical revision) and a low rate of failure (1 partial loss). The indications for a free flap versus pedicle flap are discussed, as well as the choice of a skin flap or muscle flap or musculocutaneous flap, with regard to their results and their consequences at the donor site.
带血管游离组织移植近来为软组织修复带来了新的前景。与传统带蒂皮瓣相比，其主要优势在于缩短了住院时间和整体治疗时间，尤其是在小腿创伤性损伤中。我们对15例连续的游离皮瓣病例进行的回顾显示，早期并发症发生率较高（33%需手术修正），失败率较低（1例部分坏死）。文中讨论了游离皮瓣与带蒂皮瓣的适应证，以及皮瓣、肌瓣或肌皮瓣的选择，涉及它们的效果及供区后果。
