Chen H C, Tang Y B, Noordhoff M S
Chang Gung Memorial Hospital, Taipei, Taiwan.
J Trauma. 1988 Jan;28(1):110-4. doi: 10.1097/00005373-198801000-00017.
Microsurgical techniques can augment the arterial blood supply of a distally based myocutaneous flap, by reanastomosis of the sural artery to a main artery of the leg, allowing the flap a greater length and arc of rotation to cover defects of the distal half of the leg. No venous anastomosis is required. This procedure was used in 17 patients with open tibial fractures. They all healed primarily without any early or late complications. The use of this augmented flap provides a simple and reliable method for reconstruction of difficult wounds of the distal lower leg. It is easier and safer than a free flap.
显微外科技术可通过将腓肠动脉与小腿的一条主要动脉重新吻合，来增加远端蒂肌皮瓣的动脉血供，使皮瓣具有更大的长度和旋转弧，以覆盖小腿下半部的缺损。无需进行静脉吻合。该手术应用于17例开放性胫骨骨折患者。他们均一期愈合，无任何早期或晚期并发症。使用这种增强皮瓣为重建小腿远端的复杂创面提供了一种简单可靠的方法。它比游离皮瓣更容易、更安全。
