Jockheck M, Maurer F, Mueller J E
Berufsgenossenschaftliche Unfallklinik Tübingen.
Aktuelle Traumatol. 1994 Oct;24(6):218-21.
With different case reports we want to show the role of microvascular tissue transfer in preservation of lower extremity amputation length. To salvage amputation stumps after traumatic amputation, as well as in case of chronic soft tissue problems after amputation, the radialis forearm flap is preferred for smaller defects, for example after transmetatarsal amputation, whereas with the latissimus dorsi muscle flap bigger areas can be reconstructed. But also the tensor fascia latae flap and the scapular flap can be used for soft tissue reconstruction. With microvascular soft tissue transfer amputation stump length can be preserved in order to have a better functional outcome, especially for prosthetic rehabilitation.
通过不同的病例报告，我们旨在展示微血管组织移植在保留下肢截肢长度方面的作用。为挽救创伤性截肢后的截肢残端，以及截肢后出现慢性软组织问题的情况，对于较小的缺损，如经跖骨截肢后，首选桡侧前臂皮瓣；而对于较大面积的缺损，则可采用背阔肌肌皮瓣进行重建。此外，阔筋膜张肌皮瓣和肩胛皮瓣也可用于软组织重建。通过微血管软组织移植，可以保留截肢残端的长度，从而获得更好的功能结果，特别是对于假肢康复而言。
