Journal of Tissue Engineering and Reconstructive Surgery ›› 2024, Vol. 20 ›› Issue (6): 698-.
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Key words:  , Severe lower limb damage caused by high-energy trauma poses a challenge in trauma repair and reconstruction, often accompanied by issues such as fractures, bone defects, bone exposure, nerve and vascular injuries, and soft tissue damage. In this paper, one case was reported where a combination of keystone flap and latissimus dorsi flap was used to repair a large soft tissue defect in the popliteal fossa with nerve and vascular exposure. The patient sustained an open injury to the left popliteal fossa due to a car accident, with a soft tissue defect measuring 20 cm×40 cm. A free latissimus dorsi flap (10 cm×30 cm) was transplanted to cover the popliteal fossa, including important nerve and vascular structures, followed by the use of a type II keystone flap (10 cm×20 cm) to repair the remaining wound. All flaps survived successfully without any donor site complications. At a 15-month postoperative follow-up, the appearance of the affected limb was deemed acceptable, with no scar contracture at the knee joint.
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拱顶石皮瓣 背阔肌皮瓣 腘窝损伤 软组织缺损
背阔肌皮瓣
腘窝损伤
软组织缺损
Aierbanjiang·Shali, Xiriaili·Kadier, CHENG Erlin, et al. Keystone flap and latissimus dorsi flap in repairing popliteal fossa defect:A case report[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2024, 20(6): 698-.
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https://www.qk.sjtu.edu.cn/jter/EN/Y2024/V20/I6/698