Kepenekidis A, Michailides C, Kallioras V, Ioannovich I
Service de Chirurgie Plastique et Microchirurgie, Hôpital Périphérique Général d'Athènes, Grèce.
Ann Chir Plast Esthet. 1997 Feb;42(1):61-9.
The authors report their experience in the use of the reversed fascio-subcutaneous flap of the leg in 11 cases for covering soft tissue defects of the distal third of the leg, the malloli and the posterior heel. An anatomical study has been performed on fifteen fresh cadavers (30 legs), in order to precise the indications and limits in the dissection of the flap pedicle. The authors report six necrosis (2 superficial, 4 total) of the distal part of the flap. Despite these complications, they consider that this flap is an interesting procedure due to its advantages: the respect to anatomical structures, an easy dissection, a supple pedicle and an aesthetic aspect of the donor area.
作者报告了他们使用小腿逆行筋膜皮下瓣治疗11例小腿远端三分之一、内外踝及足跟后部软组织缺损的经验。对15具新鲜尸体(30条腿)进行了解剖学研究,以明确皮瓣蒂部解剖的适应证和限度。作者报告皮瓣远端出现6例坏死(2例表浅坏死,4例完全坏死)。尽管有这些并发症,但他们认为该皮瓣因其优点仍是一种值得关注的术式:尊重解剖结构、易于解剖、蒂部柔软以及供区美观。