May J W, Lukash F N, Gallico G G
Plast Reconstr Surg. 1981 Oct;68(4):603-7. doi: 10.1097/00006534-198110000-00022.
The free latissimus dorsi skin-muscle flap has gained wide popularity to solve a variety of difficult reconstructive surgical problems. However, the donor site of this skin-muscle flap leaves a conspicuous scar and indentation, and frequently in the recipient site the skin-muscle flap leaves a conspicuous scar and indentation, and frequently in the recipient site the skin-muscle flap requires staged defatting procedures. This case demonstrates the use of the latissimus dorsi muscle flap for lower-extremity reconstruction, where a new blood supply and soft-tissue coverage are required to solve a chronically infected, open ankle joint. By taking the latissimus muscle only through a short, axillary incision, much of the donor-site deformity is minimized, and after transfer, the muscle can be molded and shaped to fit the recipient site with split-thickness skin graft coverage. This combination of free muscle flap transfer and skin graft would appear to provide a flexible, contoured, well-vascularized muscle with a relatively inconspicuous incision and skin-graft donor site.
游离背阔肌皮瓣在解决各种复杂的重建外科问题方面已得到广泛应用。然而，该皮瓣的供区会留下明显的瘢痕和凹陷，且在受区，皮瓣也常常会留下明显的瘢痕和凹陷，并且在受区，皮瓣常常需要分阶段进行去脂手术。本病例展示了背阔肌肌瓣在下肢重建中的应用，在该病例中，需要新的血供和软组织覆盖来解决慢性感染的开放性踝关节问题。通过仅经腋窝小切口获取背阔肌，可将大部分供区畸形降至最低，转移后，该肌肉可塑形以适应受区，并覆盖中厚皮片。游离肌瓣转移与植皮相结合，似乎能提供一块灵活、外形合适、血供良好的肌肉，且切口和植皮供区相对不明显。
