Division of Plastic Surgery, University of California, Davis, 2335 Stockton Boulevard, Room 6008, Sacramento, CA 95817, USA.
Clin Plast Surg. 2021 Apr;48(2):201-214. doi: 10.1016/j.cps.2020.12.002. Epub 2021 Jan 26.
Free tissue transfer to the lower extremity for limb salvage remains challenging. A comprehensive approach includes patient selection, flap selection, selection of the recipient vessels, flap dissection, flap preparation, microvascular anastomosis, flap inset, immediate postoperative care, intermediate postoperative care, and further follow-up care. Each step in this comprehensive approach has its unique considerations and should be executed equally to ensure an optimal outcome. Once acquired, some clinical experience along with adequate microsurgical skill, good surgical judgment, well instructed and step-by-step intraoperative execution, and a protocol-driven practice, successful free tissue transfer to the lower extremity can be accomplished.
游离组织移植修复下肢仍然具有挑战性。综合治疗方案包括患者选择、皮瓣选择、受区血管选择、皮瓣解剖、皮瓣制备、显微血管吻合、皮瓣植入、即刻术后护理、中期术后护理和进一步随访护理。综合治疗方案中的每一步都有其独特的考虑因素，都需要同等重视，以确保获得最佳效果。一旦掌握了游离组织移植修复下肢的技术，还需要一定的临床经验、足够的显微外科技术、良好的手术判断、经过指导的、循序渐进的术中操作和基于方案的实践，才能成功完成游离组织移植修复下肢。
