PDF(Pubmed)
Abstract：
The reconstruction of trochanteric defects presents a challenge to the reconstructive surgeon. There have been a number of locoregional reconstructive options described in the literature. These include flaps based on the lateral circumflex femoral artery and its branches, such as the tensor fascia lata, vastus lateralis (VL), anterolateral thigh (ALT) flaps. The present case further complicated this challenge as the patient had multiple recurrences of a sarcoma overlying the trochanteric region, with previous surgical resections, reconstruction and radiotherapy. The present case study describes an approach to harvesting the VL flap in a patient with previously harvested ALT.
摘要：
转子缺损的重建对重建外科医生提出了挑战。文献中描述了许多局部区域重建方案。这些包括基于旋股外侧动脉及其分支的皮瓣，例如张量筋膜，股外侧肌（VL），股前外侧（ALT）皮瓣。由于患者多次复发覆盖转子区域的肉瘤，因此本病例进一步使这一挑战复杂化。以前的手术切除，重建和放射治疗。本病例研究描述了一种在先前收获ALT的患者中收获VL瓣的方法。
