Use of muscle free flaps in lower limbs reconstruction in children

被引：7

作者：

Bouffaut, A. -L. ^{[1
]}

Hamel, A. ^{[2
]}

Guillard, S. ^{[2
]}

Pannier, M. ^{[1
]}

Duteille, F. ^{[1
]}

机构：

[1] CHU Nantes, Hop Jean Monet, Serv Chirurg Plast Brules, F-44093 Nantes 1, France

[2] CHU Nantes, Serv Chirurg Orthoped Infantile, F-44093 Nantes 1, France

来源：

ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE | 2008年 / 53卷 / 03期

关键词：

microsurgery; child; lower limbs; free flap;

D O I：

10.1016/j.anplas.2007.06.014

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A series of 12 muscle free flaps was performed from 2000 to 2005 in 11 children 3 to 15 years of age (mean: 10.6): seven serratus anterior, four latissimus dorsi and one rectus abdominis. The defects (acute or as a result of sequelae) were always located in lower limbs: seven in feet, three in the lower third of the Leg and one in the knee. None of the children was re-operated within 72 heures. Total necrosis due to venous thrombosis occurred at Day 5 in one case. After mean follow-up of 2.5 years (minimum: 1 year), the flaps show good integration. Functional or esthetic sequelae are considered acceptable by the health-care team as well as the children's parents. No repercussions on growth have been observed. Our series confirms the results of previous studies, indicating that free flaps should be part of the therapeutic arsenal in pediatric surgery. (C) 2007 Elsevier Masson SAS. Tous droits reserves.

引用

页码：267 / 271

页数：5

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