游离足底皮瓣重建膝下残端：一例报告

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

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.

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

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.

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。