Quinodoz P, Lanfrey E, Grolleau J L, Chavoin J P, Costagliola M
Unité de Chirurgie Plastique et Reconstructive, Hôpitaux Universitaires de Genève, Suisse.
Ann Chir Plast Esthet. 1998 Jun;43(3):264-8.
Five patients with high energy trauma of the lower limb with tissue defect located in the knee or the proximal third of the leg underwent reconstruction with a free latissimus dorsi flap. This flap was connected to a vascular saphenous loop which initially creates an arterioveous shunt between proximal femoral vessels. This was performed in a single operation with two teams of surgeons. This technique was chosen because a healthy recipient pedicle was not available in the vicinity of the defect. Application of vein grafts is not the usual procedure but there are situations in which it becomes necessary. Our aim in this paper is to discuss these situations, to describe the technique used in our Hospital and to analyze the advantages and disadvantages of a one or two-stage operation.
5例下肢高能量创伤且组织缺损位于膝关节或小腿近端三分之一处的患者接受了背阔肌游离皮瓣重建术。该皮瓣与一个血管隐静脉环相连，该环最初在股血管近端之间形成动静脉分流。这一操作由两组外科医生在一次手术中完成。选择该技术是因为缺损附近没有健康的受区蒂可供使用。应用静脉移植并非常规操作，但在某些情况下是必要的。本文的目的是讨论这些情况，描述我院所采用的技术，并分析一期或二期手术的优缺点。
