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| 題 名 | The Peroneal Artery Perforator-Based Propeller Flap for Distal Lower Limb Reconstruction=利用螺旋式腓動脈穿通枝皮瓣來重建遠端下肢組織缺損 |
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| 作 者 | 盧亭辰; 林志鴻; 林有德; 張乃仁; 許聰政; 林承弘; | 書刊名 | 臺灣整形外科醫學會雜誌 |
| 卷 期 | 20:3 2011.09[民100.09] |
| 頁 次 | 頁196-202 |
| 分類號 | 416.413 |
| 關鍵詞 | 遠端下肢組織缺損; 螺旋式局部皮瓣; 腓動脈穿通枝; Pedicled perforator flap; Leg and foot reconstruction; Peroneal artery; Propeller flap; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:遠端小腿的軟組織缺損重建極具挑戰性。這附近的解剖構造限制了局部皮瓣的使用,所以往往需要採用游離皮瓣來做軟組織缺損的重建。近年來對穿通枝的了解,讓我們可以根據腓動脈穿通枝來設計螺旋式局部皮瓣用於遠端小腿的重建。目的及目標:利用腓動脈穿通枝螺旋式局部皮瓣重建遠端小腿的缺損,共16例的經驗。材料及方法:從2002年到2010年,總共有16例螺旋式腓動脈穿通枝皮瓣來重建遠端小腿的軟組織缺損。前脛部分的缺損有三例,阿基里斯腱部位軟組織缺損有六例,外側腳踝處缺損有六例。結果:皮瓣的長度從7.5至28公分,寬度從3至8公分。利用的穿通枝位於距離外腳踝頂點4.5至22公分之間。術後共有六例遭遇短暫靜脈充血情形。其中有兩例導致部分皮瓣壞死,須做後續植皮手術。結論:根據腓動脈穿通枝來設計螺旋式局部皮瓣可靠且易行,適用於遠端小腿局部軟組織缺損的重建。 |
| 英文摘要 | Background:Reconstruction of soft tissue defects in the lower third of the leg remains challenging. Anatomical constraints limit the number of local flap options, often necessitating microsurgical free tissue transfers to reconstruct defects in these areas. With an increased understanding of the perforator flap concept, we applied the propeller flap design based on the peroneal artery perforators to provide local flap coverage of different defects in this difficult region.Patients and Methods:Between 2002 and 2010, 16 peroneal artery perforator-based propeller flaps were performed for cover of different defects in the pretibial area (n=3), Achilles' tendon and/or hindfoot (n=7) and lateral malleolar area (n=6).Results:The length of the flap ranged from 7.5 to 28 cm, and the width from 3 to 8 cm. Perforator selection depended on the defect location and ranged from 4.5 to 22 cm above the tip of the lateral malleolus. Postoperative venous congestion was encountered in 6 propeller flaps. Most of the congestion subsided within days without complications, except two needed further reconstruction with skin grafts.Conclusion:Peroneal artery perforator-based propeller flaps are reliable and can be designed and harvested with ease. This flap is a good option for covering small defects in the lower third of the leg. |
本系統中英文摘要資訊取自各篇刊載內容。