胫骨后动脉穿支皮瓣修复四肢软组织缺损: 回顾性队列研究。
Posterior perforator tibial artery flaps for soft tissue defects of limbs: a retrospective cohort study.
机构信息
The Yangzhou School of Clinical Medicine of Dalian Medical University, Yangzhou, 225001, Jiangsu Province, China.
Clinical Medical College, Yangzhou University, Yangzhou, 225009, Jiangsu Province, China.
出版信息
Eur J Trauma Emerg Surg. 2024 Aug;50(4):1817-1821. doi: 10.1007/s00068-024-02536-5. Epub 2024 Apr 28.
PURPOSE
To investigate the clinical effect of posterior perforator tibial artery flaps on repairing soft tissue defects of limbs.
METHODS
From June 2012 to June 2021, 14 cases of soft tissue defects of limbs were repaired with pedicled or free flaps of posterior perforator tibial artery. Among them, there were 9 cases of pedicled flaps and 5 cases of free flaps. The donor sites were closed directly or covered with skin grafting. The defects area varied from 3 × 5 cm to 7 × 16 cm. All cases were followed up for 1 year to 2 years.
RESULTS
All flaps survived completely except 3 cases with distal end necrosis and the 3 cases healed after dressing change. There were not any other complications at both donor and recipient sites. Appearance of the recipient sites was close to the surrounding skin. All patients were satisfied with the results.
CONCLUSION
Posterior perforator tibial artery flaps have the advantages of relatively simple technique, few damage, few complications and satisfying appearance. It is a good choice for soft tissue defects of limbs.
目的
探讨应用小腿后穿支动脉皮瓣修复四肢软组织缺损的临床效果。
方法
2012 年 6 月至 2021 年 6 月，采用带蒂或游离小腿后穿支动脉皮瓣修复四肢软组织缺损 14 例，其中带蒂皮瓣 9 例，游离皮瓣 5 例，供区创面直接拉拢缝合或植皮覆盖。缺损面积为 3cm×5cm 至 7cm×16cm。所有患者均获得 1 年至 2 年随访。
结果
除 3 例皮瓣远端出现部分坏死，经换药后愈合外，其余皮瓣均完全成活，供受区均未发生其他并发症。受区外观接近周围皮肤，患者均满意。
结论
小腿后穿支动脉皮瓣具有手术操作相对简单、创伤小、并发症少、外形满意等优点，是修复四肢软组织缺损的理想选择。
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