Lai C S, Lin S D, Chou C K, Tsai C W
Division of Plastic Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical College, Taiwan, Republic of China.
Burns. 1993 Feb;19(1):73-6. doi: 10.1016/0305-4179(93)90106-i.
Local adipofascial turn-over flaps overlaid with skin grafts were used successfully to reconstruct nine deep burn wounds following electric injuries or contact burns in seven patients. Durable flap coverage of the exposed tendons, joints or bones can be achieved with a one-stage procedure. Appropriate length-to-width ratio and flap-to-base area ratio, and the tension-free insetting of the flap are essential for flap survival. The non-adherent characteristic of the adiposal component of the flap enables the underlying involved tendons or joints to glide through without adherence, and the rich vascular network in the fascia provides an ideal bed for the skin graft. The adipofascial turn-over flap is a reliable and simple technique for reconstruction of certain deep burn wounds if the surrounding soft tissue is available. The functional and cosmetic results in our series have been rewarding and satisfactory.
在7例患者中，局部脂肪筋膜翻转皮瓣联合植皮成功用于修复9处电烧伤或接触性烧伤后的深度烧伤创面。采用一期手术可实现对暴露肌腱、关节或骨骼的持久皮瓣覆盖。合适的长宽比和皮瓣与蒂部面积比，以及皮瓣无张力嵌入对于皮瓣存活至关重要。皮瓣脂肪成分的非粘连特性使下方受累的肌腱或关节能够顺利滑动而不粘连，筋膜丰富的血管网络为植皮提供了理想的床。如果周围软组织可用，脂肪筋膜翻转皮瓣是一种可靠且简单的修复某些深度烧伤创面的技术。我们系列病例中的功能和美容效果均令人满意。
