Current concepts in microsurgical soft tissue reconstruction of lower extremity trauma in a single-vessel extremity  

作　　者：Jenny L.Yu Philip D.Tolley Cameron Kneib Erin A.Miller Christopher S.Crowe 

机构地区：[1]Division of Plastic Surgery,University of Washington,Seattle,WA 98104,United States

出　　处：《Plastic and Aesthetic Research》2022年第1期171-181,共11页整形与美容研究（英文版）

摘　　要：Advancements in microsurgical techniques have allowed for the salvage of extremities that would otherwise be amputated.Despite these improvements,mangling injuries of the lower extremity with concomitant open fracture continue to present a challenge for reconstructive surgeons.These injuries are further complicated by circumstances in which a single vessel is perfusing the foot after trauma(Gustilo 3C injuries).Although the foot may remain perfused in this instance,free flap coverage of open fractures with concomitant vascular injury requires careful planning to maintain a viable foot.The surgeon must adapt surgical plans based on both preoperative and intraoperative findings.In this review,we discuss current concepts and reconstructive techniques for performing free flap reconstruction in single-vessel lower extremities.

关 键 词：Lower extremity RECONSTRUCTION MICROSURGERY 

分 类 号：R68[医药卫生—骨科学]