Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Plastic and Maxillofacial Surgery, University of Virginia Health, West Complex 4th Floor, 1300 Jefferson Park Avenue, Charlottesville, VA 22903, USA.
Clin Plast Surg. 2021 Apr;48(2):259-266. doi: 10.1016/j.cps.2021.01.006.
Marko Godina in his landmark paper in 1986 established the principle of early flap coverage for reconstruction of traumatic lower extremity injuries to minimize edema, fibrosis, and infection while optimizing outcomes. However, with the evolution of microsurgery and wound management, there is emerging evidence that timing of reconstruction is not as critical as once believed. Multidisciplinary care with a combined orthopedic and reconstructive approach is more critical for timely and appropriate definite treatment for severe lower extremity injuries.
马科·戈丁纳（Marko Godina）在 1986 年的一篇具有里程碑意义的论文中确立了早期皮瓣覆盖治疗创伤性下肢损伤的原则，以最大限度地减少水肿、纤维化和感染，同时优化治疗效果。然而，随着显微外科和伤口管理的发展，有新的证据表明重建的时机并不像以前认为的那么关键。多学科护理，结合骨科和重建方法，对于严重下肢损伤的及时和适当的确定性治疗更为关键。
