Filippini A, Zuccarini F, Di Paolantonio G, Valbonesi L, Guerra L, Passerini A, Salini V, Marinucci R, Orso C A, Picardi N
I Divisione Clinicizzata di Chirurgia, Università degli Studi G. D'Annunzio, Chieti.
Ann Ital Chir. 1995 Jul-Aug;66(4):479-84.
The fascio-cutaneous flaps with distal pedicle, with the new discoveries on fascial and septal circulation of the lower limbs, are a valid reconstructing method for the loss of substance localized on the third inferior of the leg and in the heel's region. In 21 patients, 18 men and 3 women, fascio-cutaneous flaps were employed for the traumatic loss of substance, just in two cases consequentially to removal of maligns lesions, all of them were omolaterals except in three cases in which cross-leg were used. The results are satisfying if we remember that just in two cases we had partial necrosis and in other two cases we had to reinstate the flap which had survived just in his deep position. The advantages of using this technique are supported by his good results and simple execution, realising anyhow that complicated or contaminated trumas need more complex plastic reconstruction.
随着对下肢筋膜和间隔循环的新发现，带蒂远端筋膜皮瓣是修复小腿下1/3及足跟部组织缺损的一种有效重建方法。21例患者中，男性18例，女性3例，筋膜皮瓣用于修复创伤性组织缺损，仅2例因切除恶性病变而采用，除3例采用交叉腿皮瓣外，其余均为单侧。如果我们记住仅2例出现部分坏死，另外2例不得不对仅深部存活的皮瓣进行复位，那么结果是令人满意的。使用该技术的优点体现在其良好的效果和简单的操作上，不过要认识到复杂或污染的创伤需要更复杂的整形重建。
