Fujino T, Harashina T
Clin Orthop Relat Res. 1978 Jun(133):154-7.
The success of a free flap transfer depends entirely on the suture of a paired artery and vein between the donor and recipient sites. The interrupted suturing method with biangulation or successive interrupted suturing is the method of choice. The size of the site, small or large, does not effect either the resulting patency or the process of intimal healing. When occlusion of the anastomosed site is encountered, the transferred free flap can be saved by exploration within 6 hours after surgery. Reapplication of the clamp proximally or distally to the anastomosed site does not change the patency rate. Free groin flaps can be successfully transferred in 2 orthopedic cases.
游离皮瓣移植的成功完全取决于供区与受区之间一对动脉和静脉的缝合。采用带角的间断缝合方法或连续间断缝合是首选方法。部位大小，无论小或大，均不影响最终的通畅情况或内膜愈合过程。当吻合部位出现阻塞时，可在术后6小时内通过探查挽救移植的游离皮瓣。在吻合部位近端或远端重新应用血管夹不会改变通畅率。游离腹股沟皮瓣可在2例骨科病例中成功移植。
