Stern P J, Neale H W, Gregory R O, McDonough J J
J Bone Joint Surg Am. 1983 Jul;65(6):729-37.
Fifteen lower extremities with large traumatic defects in the soft tissues were resurfaced by free microvascular transfer of the latissimus dorsi muscle and overlying skin. This procedure was particularly useful in four patients in whom a portion of the extremity had been acutely denuded of its soft-tissue sleeve, leaving exposed bone, joint, or tendon. It was also effective in eleven patients with chronic lesions who required additional reconstructive procedures (arthrodesis, internal fixation, bone-grafting, or tendon-grafting), and in the treatment of chronic osteomyelitis when infected bone and soft tissue had to be liberally debrided. In the eleven patients who had chronic osteomyelitis at the time of the transfer (five with infected, unstable tibial fractures), no subsequent drainage was evident at an average of twenty-two months' follow-up.
15例下肢软组织存在大面积创伤性缺损的患者，通过背阔肌及其上方皮肤的游离微血管转移进行了创面覆盖。该手术对4例肢体部分软组织急性剥脱、导致骨、关节或肌腱外露的患者尤为有用。对于11例需要额外重建手术（关节融合、内固定、植骨或肌腱移植）的慢性病变患者，以及在必须广泛清创感染骨和软组织的慢性骨髓炎治疗中，该手术也有效。在转移手术时患有慢性骨髓炎的11例患者（5例伴有感染性不稳定胫骨骨折）中，平均随访22个月后未见后续引流情况。
