【摘要】 总结１９８４年～１９９３年，应用腓肠肌皮瓣、腓肠外侧动脉皮瓣、隐动脉皮瓣、筋膜皮瓣等带蒂移位，修复膝部大面积软组织缺损４９例的临床效果。其中４７例一次手术成功，１例皮瓣感染坏死，１例环绕膝部瘢痕疙瘩切除后，以游离皮片移植治愈。经平均３年６个月随访，膝关节功能恢复正常或基本正常，皮瓣不臃肿，皮瓣的血运、弹性、颜色与正常皮肤相似。顺行转移的皮瓣感觉功能正常，但远侧稍感麻木。认为由于膝部功能的特殊性，采用皮瓣转移术修复缺损是有效的方法更多还原

【Abstract】 From 1984 to 1993, 49 cases with various soft tissue defects around the knee were treated with pedicled calf myocutaneous flap, lateral sural cutaneous artery island skin flap, saphenous neurovascular skin flap and fascio cutaneous flap. The postoperation results were sucessful in 47 cases, and failure 2 cases, in one case with flap infection and the other with scar formation surrounding the knee. Both the failure cases were cured with split skin graft. The patient were followed up for an average of three and a halfyears, the knee function was almost completely regained, and the blood supply of the flaps, the elasticity and colour of the flaps were similiar to that of the normal skin, without being cumbersome. The sensation of the saphenous neurovascular flaps and the lateral sural cutaneous artery island flaps was preserved, except partial numbness was presented at the distal part of the flaps. Operative indications and selection of cases were discussed.更多还原