Meyer C, Rodier-Bruant C, Wilk A, Breton J F, Blucher G
Service de Chirurgie Plastique, Reconstructrice Esthétique, Clinique Chirurgicale B, Hôpital Civil, Strasbourg.
Ann Chir Plast Esthet. 1994 Aug;39(4):482-90.
Thirty-five patients with complex post-traumatic leg defects were treated surgically between 1986 and 1992. 10 of these patients had severe open fractures (Gustillo III a, b and c), 25 others suffered from cutaneous and bony sequelae. The choice of the various covering flaps is discussed according to the place and type of defect and also according to their trophic properties. In the light of their own experience and a review of the recent literature, the authors stress the necessity of covering the defect as soon as possible, particularly when a free flap is indicated. Muscle flaps are preferred. Bony reconstruction can then be achieved by a conventional graft.
1986年至1992年间，对35例创伤后腿部复杂缺损患者进行了手术治疗。其中10例患者为严重开放性骨折（Gustillo III a、b和c型），另外25例患有皮肤和骨骼后遗症。根据缺损的部位和类型以及皮瓣的营养特性，讨论了各种覆盖皮瓣的选择。根据自身经验并回顾近期文献，作者强调应尽快覆盖缺损，尤其是在需要游离皮瓣时。首选肌皮瓣。然后可通过传统植骨进行骨重建。
