Schwabegger A, Ninković M, Wechselberger G, Anderl H
University Clinic for Plastic and Reconstructive Surgery, Innsbruck, Austria.
Scand J Plast Reconstr Surg Hand Surg. 1996 Sep;30(3):187-93. doi: 10.3109/02844319609062813.
Covering defects of the lower leg is still an exceptional problem when tendons or bone are exposed within small defects, particularly in the malleolar region. We present 12 cases of successful wound closure on the lower leg with the versatile bipedicled flap. We had a low incidence of minor complications, whether it was used as a cutaneous, fasciocutaneous, or myo-fasciocutaneous flap, in some cases also based on underlying perforators to guarantee perfusion of the flap. If it is limited to selected indications and patients, the bipedicled flap may be a reliable alternative to other, more sophisticated methods of tissue transfer.
当小腿小面积缺损内肌腱或骨骼外露时，小腿缺损的覆盖仍然是一个棘手的问题，尤其是在内踝区域。我们报告了12例应用多功能双蒂皮瓣成功闭合小腿伤口的病例。无论将其用作皮瓣、筋膜皮瓣还是肌筋膜皮瓣，在某些情况下还基于深部穿支以保证皮瓣的血供，我们的轻微并发症发生率都很低。如果将其限定于特定的适应证和患者，双蒂皮瓣可能是其他更复杂组织移植方法的可靠替代方案。
