Ninković M, Schoeller T, Wechselberger G, Benedetto K P, Anderl H
Universitätsklinik für Plastische und Wiederherstellungschirurgie, Innsbruck.
Chirurg. 1997 Nov;68(11):1163-9. doi: 10.1007/s001040050339.
The concept of emergency free tissue transfer for severe extremity injuries represents a cutting-edge technology. We discuss our very positive results with this technique. The conceptual reasons for these favorable results, compared with conventional approaches, are also discussed. An initial, radical debridement is the most important part of the operation. This is then followed by osteosynthesis. The correct type of free tissue transfer is chosen according to the requirements of the soft tissue defect. Qualitatively better results with earlier definitive rehabilitation were achieved with free tissue transfer performed during the acute stage of limb wound treatment. The follow-up period ranged from 3 months to 8 years. We experienced neither flap loss, osteomyelitis, nor severe wound infection. Using the modern concept of emergency free tissue transfer, we reduced the rate of flap loss and associated morbidity while achieving a functionally improved reconstruction.
严重肢体损伤的急诊游离组织移植概念代表了一项前沿技术。我们讨论了这项技术带来的非常积极的结果。与传统方法相比，还讨论了取得这些良好结果的理论原因。初期彻底清创是手术最重要的部分。然后进行骨固定。根据软组织缺损的需求选择正确类型的游离组织移植。在肢体伤口治疗急性期进行游离组织移植可在早期获得定性更好的结果以及确定性康复。随访期为3个月至8年。我们未出现皮瓣丢失、骨髓炎或严重伤口感染的情况。采用现代急诊游离组织移植概念，我们降低了皮瓣丢失率及相关发病率，同时实现了功能上更好的重建。
