Koshima I, Kawada S, Moriguchi T, Hamanaka T, Ono Y
Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.
Plast Reconstr Surg. 1995 Jul;96(1):201-6. doi: 10.1097/00006534-199507000-00032.
An island connected "Siamese" deep femoral and gluteal perforator-based flap with double vascular pedicles, the perforators from the deep femoral and superior gluteal arteries, was transferred successfully to repair an extensively large posterior thigh defect in an 84-year-old man. For reconstruction of large, massive defects of the posterior thigh region, this connected "Siamese" flap has the following advantages: (1) the flap and the pedicles are nearest to the defect, (2) the skin territory of the flap is extremely long, (3) the flap elevation is easy, because there are several perforators that can be considered as pedicle candidates in both the deep femoral and the gluteal perforator-based flaps, (4) there is no necessity for positional change to elevate the flap, and (5) no sacrifice of muscles implies little postoperative functional limitation of the donor leg.
成功转移了一个连接“连体”股深动脉和臀上动脉穿支的双血管蒂岛状皮瓣，用于修复一名84岁男性大腿后部广泛的大缺损。对于大腿后部区域大的、巨大的缺损重建，这种连接“连体”皮瓣具有以下优点：（1）皮瓣和蒂部离缺损最近；（2）皮瓣的皮肤区域极长；（3）皮瓣掀起容易，因为在股深动脉穿支皮瓣和臀上动脉穿支皮瓣中都有几个穿支可被视为蒂部候选；（4）掀起皮瓣无需改变体位；（5）不牺牲肌肉意味着供区腿术后功能受限极小。
