FREE FLOW-THROUGH ANTEROLATERAL THIGH FLAP FOR COMPLEX KNEE DEFECT INCLUDING THE POPLITEAL ARTERY

被引：19

作者：

Miyamoto, Shimpei ^{[1
]}

Fujiki, Masahide ^{[1
]}

Nakatani, Fumihiko ^{[2
]}

Sakisaka, Masanobu ^{[1
]}

Sakuraba, Minoru ^{[3
]}

机构：

[1] Natl Canc Ctr, Div Plast & Reconstruct Surg, Tokyo 1040045, Japan

[2] Natl Canc Ctr, Div Orthoped Surg, Tokyo 1040045, Japan

[3] Natl Canc Ctr Hosp East, Div Plast & Reconstruct Surg, Kashiwa, Chiba, Japan

来源：

MICROSURGERY | 2015年 / 35卷 / 06期

关键词：

LIMB SALVAGE; SOFT-TISSUE; RECONSTRUCTION; EXTREMITY; SARCOMAS;

D O I：

10.1002/micr.22421

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Reconstruction of complex knee defects including the popliteal artery presents a challenging problem in reconstructive microsurgery. Reconstruction of the popliteal artery and soft-tissue coverage should be performed simultaneously for limb salvage. We present the one-stage reconstruction of a complex knee defect including the popliteal artery using a free flow-through anterolateral thigh (ALT) flap as a bypass flap in two patients with sarcomas. In both patients, the popliteal artery and vein were reconstructed using branches of the lateral circumflex femoral arterial system. The flaps survived without vascular compromise and the limbs were preserved successfully. Free flow-through ALT flap enables simultaneous leg revascularization and soft-tissue coverage with a single free flap. The lateral circumflex femoral arterial system has many branches with large diameters, making it suitable for reconstruction of multiple infrapopliteal arteries. (C) 2015 Wiley Periodicals, Inc.

引用

页码：485 / 488

页数：4

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