DONOR-SITE MORBIDITY OF THE GRACILIS FLAP
DONOR-SITE MORBIDITY OF THE GRACILIS FLAP
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DOI：
10.1097/00006534-199506000-00015
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发表时间：
1995-06-01
影响因子：
3.6
通讯作者：
HOLLE, J
中科院分区：
文献类型：
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作者：
DEUTINGER, M;KUZBARI, R;HOLLE, J
为了确定股薄肌瓣抬高是否存在特定的供区发病率，我们回顾性检查了42例接受股薄肌抬高的患者。我们发现，在动力测量中，当股薄肌升高时，髋关节的内收强度降低了11%。患者没有注意到这种强度的下降。我们还发现在40.5%的患者中有一个与闭孔神经的皮肤区域相对应的感觉减退区域。此外，许多患者对供体部位的美观不满意，当肌皮瓣升高时，大腿会出现轮廓畸形。因此，我们认为股薄肌皮瓣的供区发病率虽低，但却是确定的。然而，皮瓣的优点远远超过了供体部位的后遗症。
To determine whether there is a specific donor-site morbidity inherent in the elevation of the gracilis flap, we retrospectively examined 42 patients who underwent elevation of their gracilis muscles. We found, on dynamometric measurement, that the adduction strength of the hip joint was decreased by 11 percent when the gracilis muscle was elevated. This decrease in strength was not noticed by the patients. We also found an area of hypesthesia corresponding to the cutaneous territory of the obturator nerve in 40.5 percent of the patients. In addition, many patients were dissatisfied with the aesthetic appearance of the donor site, and a contour deformity of the thigh was present when a myocutaneous flap was elevated. Therefore, we conclude that the gracilis flap has a low but definite rate of donor-site morbidity. The advantages of the flap outweigh by far, however, the sequelae at the donor site.