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首页> 外文期刊>Injury >Reconstruction of limb soft-tissue defects:using pedicle perforator flaps with preservation ofmajor vessels, a report of 45 cases
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Reconstruction of limb soft-tissue defects:using pedicle perforator flaps with preservation ofmajor vessels, a report of 45 cases

机译：肢体软组织缺损的修复：使用带蒂穿孔皮瓣并保留大血管，报告45例

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摘要

We report on 45 pedicle perforator flaps without harvesting major vessels in limb reconstruction. Of our patients, 25 had major vessel injury resulting from their initial injury. In the upper extremities, there were 13 posterior interosseous artery perforator flaps, four ulnar artery perforator flaps and three radial artery perforator flaps. In the lower extremities, there were 16 peroneal artery perforator flaps with an axis on the sural nerve, five peroneal artery perforator flaps with an axis on the superficial peroneal nerve and four posterior tibial artery perforator flaps with an axis on the saphenous nerve. There were 42 successes, one total flap loss, one epidermal necrolysis and one distal tip necrosis. Greater utilisation of pedicle perforator flaps probably will occur because they are technically simple to execute, violate only the involved extremity, do not sacrifice a major source vessel, bring similar local tissues into a defect, avoid prolonged immobilisation and do not require microsurgical expertise. The concept of the pedicle perforator flap can be applied to the same axis of a neurocutaneous flap, even in cases with injured cutaneous nerves.
机译：我们报告在没有收获肢体重建中的主要血管的45个椎弓根穿孔皮瓣。在我们的患者中，有25名因初次受伤而造成了严重的血管损伤。在上肢中，有13个后骨间动脉穿支皮瓣，四个尺动脉穿支皮瓣和三个radial动脉穿支皮瓣。在下肢，腓肠神经上有16​​条腓肠动脉穿支皮瓣，腓浅神经上有一条轴，腓骨动脉穿支皮瓣有5条，腓骨浅神经上有4条胫骨后动脉穿支皮瓣。成功42例，总皮瓣丢失1例，表皮坏死1例，远端末梢坏死1例。可能会更好地利用椎弓根穿孔皮瓣，因为它们在技术上易于实施，仅侵犯所涉及的四肢，不牺牲主要的源血管，使类似的局部组织成为缺陷，避免长时间固定并且不需要显微外科专业知识。椎弓根穿孔皮瓣的概念可以应用于神经皮瓣的同一轴，即使在皮肤神经受损的情况下也是如此。

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