Fadel Zahir T, Basaeed Amani J, Ashi Mohammed B, Aljaaly Hattan A
Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Kingdom of Saudi Arabia.
Department of Plastic and Reconstructive Surgery, National Guard Hospital, Jeddah 21423, Kingdom of Saudi Arabia.
Exp Ther Med. 2024 Apr 12;27(6):249. doi: 10.3892/etm.2024.12537. eCollection 2024 Jun.
The reconstruction of trochanteric defects presents a challenge to the reconstructive surgeon. There have been a number of locoregional reconstructive options described in the literature. These include flaps based on the lateral circumflex femoral artery and its branches, such as the tensor fascia lata, vastus lateralis (VL), anterolateral thigh (ALT) flaps. The present case further complicated this challenge as the patient had multiple recurrences of a sarcoma overlying the trochanteric region, with previous surgical resections, reconstruction and radiotherapy. The present case study describes an approach to harvesting the VL flap in a patient with previously harvested ALT.
转子区缺损的重建对重建外科医生来说是一项挑战。文献中描述了多种局部重建选择。这些包括基于旋股外侧动脉及其分支的皮瓣，如阔筋膜张肌、股外侧肌（VL）、股前外侧（ALT）皮瓣。本病例使这一挑战更加复杂，因为患者转子区上方的肉瘤多次复发，之前接受过手术切除、重建和放疗。本病例研究描述了在一名先前已切取ALT皮瓣的患者中切取VL皮瓣的方法。
