带蒂 ALT 皮瓣在转子区软组织重建中的应用。
Pedicled ALT-flap for soft tissue reconstruction in the trochanteric area.
机构信息
Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie des Universitären Medizincampus Niederbayern, Passau, Germany.
Klinik für Hand- und Plastische Chirurgie, Luzerner Kantonsspital, Luzern, Switzerland.
出版信息
Technol Health Care. 2024;32(5):3505-3512. doi: 10.3233/THC-240381.
BACKGROUND
Coverage of soft tissue defects following surgery at the trochanteric area is challenging. Revision surgery in case of compromised wound healing may lead to soft tissue defects requiring reconstruction with pedicled or free flaps. Previous access to the hip joint may jeopardize neurovascular structures relevant to the flap.
OBJECTIVE
In this study, we evaluated if the use of a pedicled anterior lateral thigh (ALT) flap is a valuable option for soft tissue reconstruction.
METHODS
In this retrospective study, seven patients were included. Defect etiology was tumor resection in one case, screw osteosynthesis in another case and total hip arthroplasty in three cases. All patients underwent reconstruction by proximal pedicled anterior lateral thigh (ALT) flap.
RESULTS
Pedicled ALT flap was a safe procedure in all cases. One patient showed delayed wound healing with need for additional surgery. No further complications were observed.
CONCLUSIONS
Pedicled ALT flap transfer represents a reliable option for soft tissue coverage in the trochanteric area after primary surgery such as hip arthroplasty, osteosynthesis or tumor resection.
背景
转子区手术后软组织缺损的覆盖具有挑战性。如果出现伤口愈合不良，需要进行修复手术，可能会导致需要使用带蒂或游离皮瓣进行软组织重建。先前进入髋关节可能会危及与皮瓣相关的神经血管结构。
目的
在本研究中，我们评估了使用带蒂前外侧大腿（ALT）皮瓣是否是软组织重建的一种有价值的选择。
方法
在这项回顾性研究中，共纳入了 7 名患者。1 例为肿瘤切除，1 例为螺钉内固定，3 例为全髋关节置换术。所有患者均采用近端带蒂前外侧大腿（ALT）皮瓣进行重建。
结果
带蒂 ALT 皮瓣在所有病例中均为安全手术。1 例患者出现延迟愈合，需要进一步手术。未观察到其他并发症。
结论
带蒂 ALT 皮瓣转移是髋关节置换术、内固定或肿瘤切除等初次手术后覆盖转子区软组织的可靠选择。
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