使用带蒂反向股前外侧皮瓣重建病态肥胖患者的膝关节缺损。
Reconstruction of a knee defect in a morbidly obese patient with a pedicled reverse anterolateral thigh flap.
机构信息
Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Syddanmark, Denmark
Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Syddanmark, Denmark.
出版信息
BMJ Case Rep. 2022 Jul 20;15(7):e249365. doi: 10.1136/bcr-2022-249365.
Abstract
The anterolateral thigh (ALT) flap is widely used in the reconstruction of a variety of soft tissue defects. Descriptions of patients with severe obesity in the literature are scarce. We report a case where a reverse pedicled fasciocutaneous ALT flap was successfully used for resurfacing of a knee defect measuring 12×6 cm in a patient with a body mass index (BMI) of 47.3. The flap was supercharged to the greater saphenous vein to optimise flap survival. Reconstruction of the soft tissue of the knee was achieved as planned. There were no flap or donor site complications.
摘要
股前外侧皮瓣（ALT）被广泛应用于多种软组织缺损的重建。文献中对严重肥胖患者的描述较少。我们报告了一例体重指数（BMI）为 47.3 的患者，使用带蒂逆行筋膜皮瓣 ALT 成功覆盖了 12×6cm 的膝关节缺损。为了优化皮瓣存活，我们给皮瓣加上了大隐静脉以增加血供。按照计划完成了膝关节的软组织重建。皮瓣和供区均无并发症。
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Reconstruction of a knee defect in a morbidly obese patient with a pedicled reverse anterolateral thigh flap.使用带蒂反向股前外侧皮瓣重建病态肥胖患者的膝关节缺损。
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