Department of Orthopedic Surgery, Medical College of Georgia at Augusta University, 1120 15th St., BA 3300, Augusta, GA 30912, USA.
Department of Orthopedic Surgery, Medical College of Georgia at Augusta University, 1120 15th St., BA 3300, Augusta, GA 30912, USA.
Orthop Clin North Am. 2022 Jul;53(3):297-310. doi: 10.1016/j.ocl.2022.03.002. Epub 2022 May 27.
Soft tissue reconstructive techniques are powerful tools for the orthopedic surgeon caring for lower extremity trauma. This article seeks to inform orthopedic surgeons about useful techniques for skin closure, secondary wound closure techniques, and rotational flaps of the lower leg. Split thickness skin grafting, piecrusting, and the use of negative pressure wound therapy for skin closure, as well as rotational gastrocnemius, soleus, and reverse sural artery flaps are discussed with emphasis on techniques for the nonvascular and nonmicrovascular orthopedic surgeon.
软组织重建技术是治疗下肢创伤的骨科医生的有力工具。本文旨在为骨科医生提供有关皮肤闭合、二期伤口闭合技术和小腿旋转皮瓣的有用技术。本文讨论了分层皮片移植、皮片挤压和使用负压伤口治疗技术进行皮肤闭合，以及旋转腓肠肌、比目鱼肌和逆行腓动脉皮瓣，并重点介绍了非脉管和非微血管骨科医生的技术。
