Hammond D C, Matloub H S, Kadz B B, Yousif N J, Sanger J R, Larson D L
Department of Surgery, Medical College of Wisconsin, Milwaukee.
Plast Reconstr Surg. 1994 Sep;94(3):507-12. doi: 10.1097/00006534-199409000-00013.
The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wounds. However, in cases of complete extremity amputation, the transfer of pedicled flaps from the amputated part is not possible. In such instances, we have designed free-fillet flaps from the amputated limb to provide wound coverage when replantation of the amputated part was contraindicated. This technique allows immediate wound coverage and preservation of functional amputation stump length, without the morbidity of an additional donor site. We present three cases that demonstrate the utility of this technique as an additional reconstructive option in patients with unreplantable upper-extremity amputations.
带蒂肌瓣转移术的理念已成功应用于上下肢，用于治疗难愈性伤口。然而，在肢体完全离断的情况下，无法从离断部位转移带蒂皮瓣。在此类情况下，我们设计了从离断肢体获取的游离肌瓣，在离断部位再植禁忌时用于覆盖创面。该技术可立即覆盖创面并保留功能性截肢残端长度，且无需增加供区并发症。我们报告三例病例，展示了该技术作为无法再植的上肢离断患者的一种额外重建选择的实用性。
