Harrison D H
J Bone Joint Surg Br. 1986 Nov;68(5):804-7. doi: 10.1302/0301-620X.68B5.3782250.
Free osteocutaneous fibular grafts, revascularised by microvascular anastomoses, have been used for one-stage reconstruction of extensive bone and skin loss in the lower leg in seven patients. The addition of an integral skin flap to a vascularised fibular graft makes reconstruction of bone defects with significant skin loss possible, and the technique for designing and raising such a flap is presented. The advantages of this transfer over other microvascular osteocutaneous flaps are the available length of straight cortical bone, the large thin skin flap, the good diameter of the vascular pedicle and the fact that dissection is carried out under a tourniquet.
通过微血管吻合进行血管重建的游离腓骨骨皮瓣，已用于7例小腿广泛骨与皮肤缺损的一期重建。在带血管蒂的腓骨瓣上附加完整的皮瓣，使得重建伴有严重皮肤缺损的骨缺损成为可能，并介绍了设计和掀起这种皮瓣的技术。与其他微血管骨皮瓣相比，这种移植的优点是直皮质骨的可用长度、大的薄皮瓣、血管蒂直径良好以及在止血带下进行解剖。
