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采用远端蒂筋膜皮瓣重建下肢——蒙特罗改良技术，15例系列报道

Reconstruction of the Lower Limb with Fasciocutaneous Flap of the Distal Pedicle - Modified Technique of Monteiro, Series of 15 Cases.

作者信息

Montenegro Saulo Souto, Costa Antônio Carlos, Meves Robert

机构信息

Serviço de Cirurgia Plástica, Hospital Universitário Lauro Wanderley, Universidade Federal da Paraíba (UFPB), João Pessoa, PB, Brasil.

Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2020 Dec;55(6):736-741. doi: 10.1055/s-0040-1712494. Epub 2020 May 29.

DOI:10.1055/s-0040-1712494
PMID:33364652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7748921/
Abstract

To describe and demonstrate the outcomes of the modified Monteiro (1991) technique for lower limb reconstruction with a fasciocutaneous flap of the distal pedicle in a series of 15 cases.  We present the technique and outcomes from a series of 15 cases of the modified technique using a fasciocutaneous flap of the distal pedicle to repair the lower third of the leg and the foot.  Outcomes were satisfactory since these flaps provided good cutaneous and subcutaneous tissue coverage in cases with bone exposure and skin loss. The donor area was closed 3 days after surgery with a partial skin graft to provide better graft viability.  The fasciocutaneous flap of the distal pedicle proved to be a good option for reconstruction of the middle and lower thirds of the leg, offering good bone coverage.

摘要

描述并展示改良的蒙泰罗（1991年）技术在15例下肢重建中使用远端蒂筋膜皮瓣的效果。我们介绍了一系列15例使用远端蒂筋膜皮瓣修复小腿下三分之一和足部的改良技术的方法及效果。由于这些皮瓣在骨外露和皮肤缺损的病例中提供了良好的皮肤和皮下组织覆盖，因此效果令人满意。供区在术后3天用部分皮肤移植封闭，以提高移植成活率。远端蒂筋膜皮瓣被证明是重建小腿中下部的一个良好选择，能提供良好的骨覆盖。

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