基于隐动脉的小腿后内侧筋膜皮瓣用于膝关节重建
Saphenous Artery-based Posteromedial Leg Fasciocutaneous Flap for Knee Reconstruction.
作者信息
Altramsy Ayman, Dahy Asmaa A, Abu-Elsoud Ahmed, Khattab Rania F, Nafeh Ahmed M, Mohamed Abdel-Naser H, Saleh Ayman K, Mahmoud Barakat A
机构信息
Department of Plastic Surgery, Al-Azhar University, Cairo, Egypt.
Department of Plastic Surgery, Helwan University, Cairo, Egypt.
出版信息
Plast Reconstr Surg Glob Open. 2022 Oct 24;10(10):e4575. doi: 10.1097/GOX.0000000000004575. eCollection 2022 Oct.
UNLABELLED
Soft tissue knee defects are frequently seen in surgical practice. The saphenous artery (SA)-based flap is a management option with variable suggested donor sites. The present study describes the use of an SA-based flap harvested from the posteromedial aspect of the leg in management of soft tissue knee defects.
METHODS
The present study recruited 30 patients with soft tissue knee defects due to miscellaneous causes. All patients were treated with an SA-based flap harvested from the posteromedial aspect of the leg. All patients were followed up for 6 months. Outcome parameters included flap survival, flap complications, and restoration of knee function.
RESULTS
After 6 months of follow-up, all flaps survived; the reported complications were distal flap necrosis (6.7%), wound dehiscence (6.7%), seroma (3.3%), and small contracture band (3.3%). All patients restored normal range of motion around the knee.
CONCLUSION
An SA-based flap harvested from the posteromedial aspect of the leg is a feasible, safe, and effective option for management of soft tissue knee defects.
未标注
软组织膝关节缺损在外科实践中很常见。基于隐动脉（SA）的皮瓣是一种治疗选择，其供区有多种建议。本研究描述了使用从腿部后内侧获取的基于SA的皮瓣治疗软组织膝关节缺损。
方法
本研究招募了30例因各种原因导致软组织膝关节缺损的患者。所有患者均接受从腿部后内侧获取的基于SA的皮瓣治疗。所有患者均随访6个月。观察指标包括皮瓣存活情况、皮瓣并发症以及膝关节功能恢复情况。
结果
随访6个月后，所有皮瓣均存活；报告的并发症有皮瓣远端坏死（6.7%）、伤口裂开（6.7%）、血清肿（3.3%）和小挛缩带（3.3%）。所有患者膝关节周围活动范围恢复正常。
结论
从腿部后内侧获取的基于SA的皮瓣是治疗软组织膝关节缺损的一种可行、安全且有效的选择。
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