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• W2751090717 abstract "To explore the feasibility and technical essentials of soft tissue defect reconstruction of the lower extremity using the distally based anteromedial thigh flap (dAMT) pedicled with perforating vessels from rectus femoris branch.Between July 2008 and December 2015, 6 patients underwent defect reconstruction of the lower extremity using the dAMT flap pedicled with perforating vessels from rectus femoris branch. There were 4 males and 2 females with an average age of 34 years (range, 4-55 years). The etiologies included liposarcoma in 1 case, malignant fibrous histocytoma in 1 case, post-burn scar contracture around the ankle in 1 case, and post-burn scar contracture around the knee in 3 cases. The disease duration ranged from 3 to 28 months (mean, 13 months). After resection of lesion tissues, the defect size ranged from 13 cm×7 cm to 24 cm×12 cm. The flap size ranged from 15 cm×8 cm to 24 cm×12 cm. The length of the pedicle ranged from 10 to 25 cm (mean, 19.8 cm). The distance from the flap pivot point to the superolateral border of the patella ranged from 8 to 13 cm (mean, 11.3 cm). The donor sites were directly sutured.All flaps survived postoperatively without any complications. All wounds at the donor and the recipient sites healed primarily. The patients were followed up from 5 to 36 months (mean, 17.8 months). The color, texture, and thickness of the flaps were similar to those of the surrounding skin. No tumor recurrence was observed. The range of motion of flexion and extension of the joint were greatly improved in the patients with scar contracture.If the rectus femoris branch gives off cutaneous branch to the anteromedial thigh region and arises from the descending branch of the lateral circumflex femoral artery, a dAMT flap could be raised to reconstruct soft tissue defects of the lower extremity.探讨以股直肌支穿支为蒂的逆行股前内侧皮瓣（distally based anteromedial thigh flap，dAMT）修复下肢皮肤软组织缺损的可行性和技术要点。.2008年7月-2015年12月，应用以股直肌支穿支为蒂的dAMT皮瓣修复下肢皮肤软组织缺损6例。男4例，女2例；年龄4～55岁，平均34岁。腘窝脂肪肉瘤1例，膝关节前内侧恶性纤维组织细胞瘤1例，烧伤后踝关节周围瘢痕挛缩1例，烧伤后膝关节周围瘢痕挛缩3例。病程3～28个月，平均13个月。术中切除病变组织后遗留缺损范围为13 cm×7 cm～24 cm×12 cm，皮瓣切取范围为15 cm×8 cm～24 cm×12 cm；血管蒂长度为10～25 cm，平均19.8 cm；皮瓣旋转点至髌骨外上缘距离8～13 cm，平均11.3 cm。供区直接拉拢缝合。.术后皮瓣均顺利成活，受区创面及供区切口均Ⅰ期愈合。无手术相关并发症发生。患者均获随访，随访时间5～36个月，平均17.8个月。皮瓣颜色、质地和厚度与受区皮肤相似。随访期间肿瘤患者无复发，关节周围瘢痕挛缩患者关节伸屈功能及外观明显改善。.如股直肌支来自旋股外侧动脉降支且两者共干，同时股直肌支发出皮肤分支至股前内侧区，可以选择以降支远端为蒂的dAMT皮瓣修复下肢皮肤软组织缺损。." @default.
• W2751090717 created "2017-09-15" @default.
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• W2751090717 date "2016-12-08" @default.
• W2751090717 modified "2023-10-14" @default.
• W2751090717 title "[DESIGN AND CLINICAL APPLICATIONS OF DISTALLY BASED ANTEROMEDIAL THIGH FLAPS PEDICLED WITH PERFORATING VESSELS FROM RECTUS FEMORIS BRANCH]." @default.
• W2751090717 doi "https://doi.org/10.7507/1002-1892.20160311" @default.
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