Collins D N, Garvin K L, Nelson C L
J Bone Joint Surg Am. 1987 Apr;69(4):510-6.
Recurrent sepsis and breakdown of the tissues in the operative wound after resection arthroplasty is performed for a hip with an infection at the site of an implant present a formidable challenge. A review of the literature indicates that more than 25 per cent of patients had delayed healing, additional surgery, or persistent drainage after resection arthroplasty. Under these circumstances, muscle flaps may help provide definitive closure, cessation of drainage, and functional recovery of the extremity as well as a reduction in the length and cost of hospitalization. The successful use of a vastus lateralis flap in seven patients is described. The specific advantages are: the flap has a consistent reliably identified vascular pedicle which permits a wide arc of rotation; sufficient muscle volume enables large open wounds to be filled; the structural integrity of the muscle is not violated by previous operations; and no important functional deficit is attributable to the procedure.
对于存在植入物部位感染的髋关节进行切除关节成形术后，反复发生败血症以及手术伤口组织破溃是一个巨大的挑战。文献回顾表明，超过25%的患者在切除关节成形术后出现愈合延迟、再次手术或持续引流。在这种情况下，肌皮瓣可能有助于实现最终的伤口闭合、停止引流、肢体功能恢复，并缩短住院时间和降低住院费用。本文描述了7例成功使用股外侧肌皮瓣的病例。其具体优点包括：该肌皮瓣有恒定且易于识别的可靠血管蒂，允许较大的旋转弧度；充足的肌肉量能够填充大的开放性伤口；肌肉的结构完整性未因既往手术而受损；且该手术不会导致重要的功能缺陷。
