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游离足底皮瓣重建膝下残端：一例报告

Reconstruction of Below Knee Stump with Free Plantar Fillet Flap: A Case Report.

作者信息

Dadaci Mehmet, Yildirim Mehmet Emin Cem, Uyar Ilker, Ince Bilsev

机构信息

Necmettin Erbakan University, Meram Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Konya, Turkey.

Bilecik State Hospital, Plastic Reconstructive and Aesthetic Surgery Clinic, Bilecik, Turkey.

出版信息

World J Plast Surg. 2020 Sep;9(3):339-342. doi: 10.29252/wjps.9.3.339.

DOI:10.29252/wjps.9.3.339
PMID:33330013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7734941/
Abstract

Here, we present a 45-year-old male patient who had right leg fracture in several pieces, arterial ischemia, multiple muscle, tendon losses and degloving injury on the distal thigh and knee undergoing emergency surgery due to a high-energy traffic accident and explain our experience with reconstruction of below knee stump using free plantar fillet flap in order to prevent above knee amputation in a patient with vascular injuries, multi-part fractures and soft tissue losses in the lower extremity.

摘要

在此，我们介绍一位45岁男性患者，他因高能交通事故导致右腿多处骨折、动脉缺血、多处肌肉和肌腱缺失以及大腿远端和膝盖的脱套伤，正在接受急诊手术。我们还将阐述使用游离足底皮瓣重建膝下残端的经验，目的是防止在一名下肢存在血管损伤、多部位骨折和软组织缺失的患者中进行膝上截肢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/95e04aba1c3d/wjps-9-339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/7ebb7872b5cd/wjps-9-339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/eca853670f8f/wjps-9-339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/95e04aba1c3d/wjps-9-339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/7ebb7872b5cd/wjps-9-339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/eca853670f8f/wjps-9-339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d354/7734941/95e04aba1c3d/wjps-9-339-g003.jpg

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Reconstruction of Below Knee Stump with Free Plantar Fillet Flap: A Case Report.游离足底皮瓣重建膝下残端：一例报告
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引用本文的文献

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[Fillet flap transfer as alternative to conventional lower limb amputation].[鱼片皮瓣转移术作为传统下肢截肢术的替代方法]
Unfallchirurgie (Heidelb). 2024 Sep;127(9):651-659. doi: 10.1007/s00113-024-01460-y. Epub 2024 Jul 10.
2
Exploring the Role of Free Tissue Transfers in the Preservation of Bone Length and Knee Joint Function after Lower Limb Trauma: A Retrospective Analysis.探索游离组织移植在下肢创伤后保留骨长度和膝关节功能中的作用：一项回顾性分析。
J Pers Med. 2024 Jan 30;14(2):160. doi: 10.3390/jpm14020160.

本文引用的文献

1
Below Knee Stump Reconstruction with a Foot Fillet Flap.
J Reconstr Microsurg. 2017 Oct;33(S 01):S20-S26. doi: 10.1055/s-0037-1606538. Epub 2017 Oct 6.
2
[Role of a sensory innervated plantar fillet free flap for reconstruction of sacral pressure sores in paraplegic patients. Last resort for reconstruction of sacral pressure sores in paraplegics].[感觉神经支配的足底肌瓣游离皮瓣在截瘫患者骶部压疮重建中的作用。截瘫患者骶部压疮重建的最后手段]
Chirurg. 2003 Aug;74(8):734-8. doi: 10.1007/s00104-003-0650-6.
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Restoration of sensation in paraplegia by a sensory innervated plantar fillet free flap. Case report.
Paraplegia. 1995 Feb;33(2):116-9. doi: 10.1038/sc.1995.26.
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Amputation after extremity injury.
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Salvage of lower extremities following combined orthopedic and vascular trauma. A predictive salvage index.骨科与血管联合创伤后下肢的挽救。一个预测挽救指数。
Am Surg. 1987 Apr;53(4):205-8.
6
Objective criteria accurately predict amputation following lower extremity trauma.客观标准能准确预测下肢创伤后的截肢情况。
J Trauma. 1990 May;30(5):568-72; discussion 572-3. doi: 10.1097/00005373-199005000-00007.