使用先前皮瓣覆盖残余缺损：翻转皮瓣拼图皮瓣。
Coverage of residual defects by using previous flaps: Flip flap puzzle flap.
作者信息
Jain Rakesh Kumar, Jain Ayush
机构信息
SMS Hospital, Jaipur, India.
出版信息
J Clin Orthop Trauma. 2020 Jul;11(Suppl 4):S631-S635. doi: 10.1016/j.jcot.2020.05.013. Epub 2020 May 18.
INTRODUCTION
Terminal flap necrosis and flap retraction is a difficult problem faced by surgeons. These require some other flap for coverage of defect with limited local tissue availability. Flip flap puzzle flap is an option for small defect coverage using previous flap.
METHODOLOGY
This flap is harvested from previous flap and raised at sub-dermal level. The flap is flipped 180° on itself to cover the defect. The residual area is finally covered with split skin graft.
RESULTS
This is a prospective study conducted on 10 patients, with 9 flap survival and 1 flap failure. In 7 out of 10 cases partial graft failure was observed, but all the defects healed eventually.
DISCUSSION AND CONCLUSION
This flap is a less morbid and rapid option for coverage of small sized defects. It has no donor site morbidity as flap is raised from the previously harvested flap.
引言
皮瓣末端坏死和皮瓣回缩是外科医生面临的难题。由于局部组织供应有限，这些情况需要其他皮瓣来覆盖缺损。翻转皮瓣拼图皮瓣是一种利用先前皮瓣覆盖小缺损的选择。
方法
该皮瓣取自先前的皮瓣，并在皮下层掀起。将皮瓣自身翻转180°以覆盖缺损。残余区域最终用断层皮片覆盖。
结果
这是一项对10例患者进行的前瞻性研究，9例皮瓣存活，1例皮瓣失败。在10例中的7例中观察到部分植皮失败，但所有缺损最终均愈合。
讨论与结论
该皮瓣是覆盖小尺寸缺损的一种创伤较小且快速的选择。由于皮瓣是从先前切取的皮瓣掀起的，因此没有供区并发症。
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