Mastering the technique of chimeric perforator flap to further improve the reconstructive level of compound tissue defects
10.3760/cma.j.cn501225-20241106-00435
- VernacularTitle:掌握嵌合穿支皮瓣技术进一步提升复合组织缺损重建水平
- Author:
Juyu TANG
1
Author Information
1. 中南大学湘雅医院骨科-手显微外科，国家老年疾病临床医学研究中心（湘雅医院），长沙 410008
- Publication Type:Journal Article
- Keywords:
Perforator flap;
Chimeric transplantation;
Compound tissue defects;
Reconstruction;
Wound repair
- From:
Chinese Journal of Burns
2025;41(1):5-10
- CountryChina
- Language:Chinese
-
Abstract:
The precise repair of compound tissue defects remains a significant challenge in the field of microsurgical reconstruction. In recent years, the integrated advent of perforator flap and chimeric flap techniques has led to the development of the chimeric perforator flap technique. In chimeric perforator flaps, the perforator flap is connected to bone, muscle, or fascial flaps solely through the vascular pedicle, allowing each tissue component considerable freedom of movement. Bone flaps can effectively reconstruct bone defects, muscle flaps can accurately restore functional muscle deficits and fill deep dead spaces, fascial flaps can reconstruct joint capsule or tendon defects, while perforator flaps can freely cover superficial wounds, thus achieving three-dimensional repair of compound tissue defects. Compared with traditional bone flaps and musculocutaneous flaps, chimeric perforator flaps significantly improve the repair outcomes of the recipient area while markedly reducing damage to the donor area. It is recommended to master the technique of chimeric perforator flaps proficiently in order to further enhance the level of reconstruction and repair for compound tissue defects.
