Partecke B D, Buck-Gramcko D
Handchir Mikrochir Plast Chir. 1984 Mar;16(1):3-6.
The free forearm flap has become an accepted procedure for cover of defects in the lower leg due to osteitis. Because the diameter of the donor and recipient artery is equal, end-to-side anastomosis is not without problems and in such cases end-to-end anastomosis is preferred. However, if one or more arteries of the lower leg are absent it may be dangerous to do an end-to-end anastomosis because of the further disturbance of circulation. A new method is shown in which the flap vessels act as an arterial and venous bypass, which improves the circulation in the lower leg, while still perfusing the flap. In 18 free forearm flaps to the lower leg, arterial bypass was performed seven times and venous bypass in three cases. One case is demonstrated.
游离前臂皮瓣已成为治疗小腿骨炎所致缺损的一种公认术式。由于供体和受体动脉直径相等，端侧吻合并非毫无问题，在这种情况下，端端吻合更为可取。然而，如果小腿的一条或多条动脉缺失，进行端端吻合可能会很危险，因为这会进一步扰乱血液循环。本文展示了一种新方法，即皮瓣血管作为动静脉旁路，可改善小腿的血液循环，同时仍为皮瓣供血。在18例游离前臂皮瓣移植至小腿的病例中，进行了7次动脉旁路手术，3例进行了静脉旁路手术。现展示1例病例。
