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ALT供区骨筋膜室综合征：一种罕见且严重的并发症。

ALT Donor Area Compartment Syndrome: A Rare and Devastating Complication.

作者信息

Alsina Gloria, Nunez-Villaveirán Teresa, Camporro Daniel, Martin Clara

机构信息

Plastic Surgery Unit, Mutua Sanitaria Mutual MC, Barcelona, Spain.

Plastic Surgery Unit, Hospital General de Granollers, Barcelona, Spain.

出版信息

Indian J Plast Surg. 2024 Dec 31;58(2):128-131. doi: 10.1055/s-0044-1795149. eCollection 2025 Apr.

DOI:10.1055/s-0044-1795149
PMID:40385677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12084104/
Abstract

We present two cases of acute compartment syndrome (ACS) in the donor area of an anterolateral thigh (ALT) flap, with extensive necrosis of the quadriceps muscle. An innervated latissimus dorsi (LD) flap was used to cover the defect and restore functionality of the lower extremity. ACS in the ALT donor area is extraordinarily uncommon. Its mechanism seems to be multifactorial, being more frequent in young athletic males and, possibly, in patients with anatomical vascular variations. It is important to detect it promptly to prevent irreversible muscular ischemia. Intense pain is an alarm sign but might be absent in patients with epidural infusion pumps. We recommend caution with the use of this analgesia and frequent monitoring of the donor area during the early postoperative period. The free functional LD muscle flap is an option to treat full-thickness quadriceps damage, allowing for wound closure, soft-tissue coverage, and restoration of the knee extension movement.

摘要

我们报告两例在前外侧大腿（ALT）皮瓣供区发生急性骨筋膜室综合征（ACS）的病例，股四头肌出现广泛坏死。采用带神经的背阔肌（LD）皮瓣覆盖缺损并恢复下肢功能。ALT供区的ACS极为罕见。其机制似乎是多因素的，在年轻的运动男性中更常见，并且可能在存在解剖学血管变异的患者中更易发生。及时发现该综合征对于预防不可逆的肌肉缺血很重要。剧烈疼痛是一个警示信号，但使用硬膜外输注泵的患者可能没有疼痛症状。我们建议在术后早期谨慎使用这种镇痛方法，并对供区进行频繁监测。游离功能性LD肌皮瓣是治疗股四头肌全层损伤的一种选择，可实现伤口闭合、软组织覆盖以及恢复膝关节伸展运动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/285a57d7361b/10-1055-s-0044-1795149-i2472926-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/31a0cfb7bdf9/10-1055-s-0044-1795149-i2472926-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/6cabc7de5d91/10-1055-s-0044-1795149-i2472926-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/eea5e4e2abb2/10-1055-s-0044-1795149-i2472926-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/f765eee9e260/10-1055-s-0044-1795149-i2472926-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/cb472c074f56/10-1055-s-0044-1795149-i2472926-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/6cb6bc7186c8/10-1055-s-0044-1795149-i2472926-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/285a57d7361b/10-1055-s-0044-1795149-i2472926-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/31a0cfb7bdf9/10-1055-s-0044-1795149-i2472926-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/6cabc7de5d91/10-1055-s-0044-1795149-i2472926-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/eea5e4e2abb2/10-1055-s-0044-1795149-i2472926-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/f765eee9e260/10-1055-s-0044-1795149-i2472926-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/cb472c074f56/10-1055-s-0044-1795149-i2472926-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/6cb6bc7186c8/10-1055-s-0044-1795149-i2472926-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae2/12084104/285a57d7361b/10-1055-s-0044-1795149-i2472926-7.jpg

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本文引用的文献

1
Acute compartment syndrome secondary to anterolateral thigh flap harvesting in a pediatric patient: A case report.小儿患者股前外侧皮瓣切取术后继发急性骨筋膜室综合征：一例报告
Medicine (Baltimore). 2020 Jul 10;99(28):e21216. doi: 10.1097/MD.0000000000021216.
2
Rectus femoris muscle necrosis: An underrated donor-site complication of free anterolateral thigh flap.股直肌坏死：股前外侧游离皮瓣供区一种被低估的并发症。
J Plast Reconstr Aesthet Surg. 2017 Jul;70(7):972-974. doi: 10.1016/j.bjps.2017.03.007. Epub 2017 Apr 7.
3
A case of nonisland pedicled foot fillet flap for below-knee amputation stump wound: treatment option for compartment syndrome after fibular free flap surgery.
腓骨游离皮瓣术后发生骨间室综合征的一种非岛状 pedicled 足 fillet 皮瓣治疗方案：小腿截肢残端创面处理选择。
J Korean Med Sci. 2014 Feb;29(2):305-8. doi: 10.3346/jkms.2014.29.2.305. Epub 2014 Jan 28.
4
Transfer of latissimus dorsi muscle for the functional reconstruction of quadriceps femoris muscle following oncological resection of sarcoma in the thigh.阔背肌转移术用于大腿肉瘤切除术后股四头肌的功能重建。
J Plast Reconstr Aesthet Surg. 2011 Aug;64(8):1068-74. doi: 10.1016/j.bjps.2011.03.010. Epub 2011 Apr 6.
5
Treatment of compartment syndrome in donor site of free fibula flap after mandibular reconstruction surgery.下颌骨重建术后游离腓骨瓣供区骨筋膜室综合征的治疗
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Nov;108(5):e15-8. doi: 10.1016/j.tripleo.2009.07.001.
6
Anterolateral thigh flap.股前外侧皮瓣。
Head Neck. 2010 Apr;32(4):529-40. doi: 10.1002/hed.21204.
7
Compartment syndrome after closure of the anterolateral thigh flap donor site: a report of two cases.
Ann Plast Surg. 2008 Jun;60(6):635-8. doi: 10.1097/SAP.0b013e3181453b7a.
8
Donor-site necrosis following fibula free-flap transplantation: a report of three cases.游离腓骨瓣移植术后供区坏死：三例报告
Microsurgery. 2005;25(7):538-42; discussion 542. doi: 10.1002/micr.20169.
9
Restoration of quadriceps femoris function with a dynamic microsurgical free latissimus dorsi muscle transfer.
Ann Plast Surg. 2004 Jan;52(1):89-92. doi: 10.1097/01.SAP.0000070433.06200.2C.
10
The fibula osteocutaneous flap in head and neck reconstruction: a critical evaluation of donor site morbidity.腓骨骨皮瓣在头颈部重建中的应用：供区并发症的批判性评估
Arch Otolaryngol Head Neck Surg. 2000 Dec;126(12):1467-72. doi: 10.1001/archotol.126.12.1467.