Medical School, University of Minnesota, Minneapolis, MN.
Dermatol Online J. 2021 Sep 15;27(9). doi: 10.5070/D327955112.
Management of post-operative soft-tissue defects on the lower legs is challenging owing to arterial and venous insufficiency, poor skin quality including epidermal and dermal atrophy, insufficient tissue laxity, and increased risk of infection. This paper highlights the management of post-operative soft-tissue defects on the lower extremity that cannot be closed primarily or by reconstruction with a local flap. A systematic review of the literature was performed using the National Library of Medicine (NLM) PubMed online database. Articles were included if they reported the management of post-operative lower extremity soft-tissue defects with secondary intention healing, full-thickness skin graft, split-thickness skin grafts, or skin substitutes. Sixty-three articles were included for analysis. There are several options for managing surgical defects on the lower legs and the method chosen should depend on various factors, including the quality of the skin, vascularity and size of the defect, medical history of the patient, and the experience of the surgeon.
由于动脉和静脉功能不全、皮肤质量差（包括表皮和真皮萎缩）、组织松弛不足以及感染风险增加，小腿术后软组织缺损的处理具有挑战性。本文重点介绍了无法通过一期或局部皮瓣重建来闭合的小腿术后软组织缺损的处理方法。使用美国国立医学图书馆（NLM）PubMed 在线数据库对文献进行了系统回顾。如果文章报告了以下情况，则将其纳入分析：二期愈合、全厚皮片移植、刃厚皮片移植或皮肤替代物治疗小腿术后软组织缺损。共纳入 63 篇文章进行分析。小腿手术缺损有几种处理方法，选择的方法应取决于多种因素，包括皮肤质量、血管和缺损大小、患者的病史以及外科医生的经验。
