Anderl H, Hussl H, Papp C, Bauer M
Chirurg. 1982 Apr;53(4):235-40.
Large defects of soft tissue and bone in the lower extremity are still a great surgical problem with regard to morbidity and preservation of the leg. Conventional operative procedures such as cross leg or pedical flap are frequently not sufficient to guarantee successful treatment. Local muscle flap, myocutaneous flap and free-tissue transfer with microvascular anastomoses are excellent surgical supplements for better and quicker treatment, as they can generally be performed in one operative step. Strict indication and a specially trained operating team are essential for successful treatment in these more risky procedures. The new techniques and applications are demonstrated on various cases.
下肢软组织和骨骼的大面积缺损在发病率和腿部保全方面仍然是一个重大的外科问题。传统的手术方法,如交腿皮瓣或带蒂皮瓣,往往不足以确保治疗成功。局部肌皮瓣、肌皮瓣和带微血管吻合的游离组织移植是更好、更快治疗的优秀外科补充方法,因为它们通常可以在一个手术步骤中完成。严格的适应症和经过专门训练的手术团队对于这些风险较高的手术的成功治疗至关重要。新技术及其应用在各种病例中得到了展示。