Soft-Tissue Reconstruction of Open Fractures of the Lower Limb: Muscle versus Fasciocutaneous Flaps

被引:100
作者
Chan, James K. -K. [1 ]
Harry, Lorraine [1 ]
Williams, Garry [1 ]
Nanchahal, Jagdeep [1 ]
机构
[1] Univ Oxford, Kennedy Inst Rheumatol, London W6 8LH, England
基金
英国惠康基金;
关键词
OPEN TIBIAL FRACTURES; BLOOD-FLOW; BACTERIAL INOCULATION; STEM-CELLS; ANTEROLATERAL THIGH; PERFORATOR FLAPS; BONE; COVERAGE; REPAIR; PERIOSTEAL;
D O I
10.1097/PRS.0b013e3182589e63
中图分类号
R61 [外科手术学];
学科分类号
摘要
Early vascularized soft-tissue closure has long been recognized to be essential in achieving eventual infection-free union. The question of whether muscle or fasciocutaneous tissue is superior in terms of promoting fracture healing remains unresolved. In this article, the authors review the experimental and clinical evidence for the different tissue types and advocate that the biological role of flaps should be included as a key consideration during flap selection. (Plast. Reconstr. Surg. 130: 284e, 2012.)
引用
收藏
页码:284E / 295E
页数:12
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