Yoshimura M, Shimamura K, Iwai Y, Yamauchi S, Ueno T
J Bone Joint Surg Am. 1983 Dec;65(9):1295-301.
Free vascularized fibular grafts were used to treat seventeen patients who had extensive defects and pseudarthroses in long bones of the extremities. Of the seventeen, thirteen had been followed for from eighteen months to five years and could be evaluated. All thirteen grafts healed with no radiographic evidence of bone necrosis or resorption. During the immediate postoperative period, the patency of the anastomoses was monitored by observing the color of the skin of an island pedicle (so-called buoy) skin graft whose blood supply was in continuity with that of the fibular graft. Preoperative Doppler measurements were used to determine the most favorable location for the island pedicle graft. In the presence of defects of both bone and skin, the skin defect can be covered by using a large buoy flap. The largest flap used in this series measured fifteen square centimeters.
采用带血管游离腓骨移植治疗17例四肢长骨广泛骨缺损及骨不连患者。17例患者中，13例随访18个月至5年，可进行评估。所有13例移植骨均愈合，影像学检查未发现骨坏死或吸收迹象。术后即刻，通过观察岛状蒂皮瓣（所谓的“浮标”皮瓣）皮肤颜色来监测吻合口通畅情况，该皮瓣血供与腓骨移植的血供相连。术前使用多普勒测量确定岛状蒂皮瓣的最佳位置。在同时存在骨和皮肤缺损的情况下，可用大的“浮标”皮瓣覆盖皮肤缺损。本系列中使用的最大皮瓣面积为15平方厘米。
