Department of Vascular Surgery, Emergency District Hospital, Cluj-Napoca, Romania.
Department of Plastic Surgery, Emergency District Hospital, Cluj-Napoca, Romania.
J Int Med Res. 2021 May;49(5):3000605211012607. doi: 10.1177/03000605211012607.
Critical limb ischemia (CLI) associated with lower extremity complex wounds is challenging for vascular and plastic surgeons. Despite a high risk of perioperative morbidity, complex reconstructive surgery in these patients is an alternative to primary major limb amputation. We present a patient with CLI and a complex foot wound treated with simultaneous femoro-popliteal arterial bypass and free flap for lower limb salvage. The 13-year follow-up showed good functional results.
伴有下肢复杂创面的临界肢体缺血(CLI)对血管外科和整形外科医生来说是一个挑战。尽管围手术期发病率高,但这些患者的复杂重建手术是避免初次主要肢体截肢的一种替代方法。我们报告了 1 例 CLI 合并足部复杂创面患者,通过同期股-腘动脉旁路移植术和游离皮瓣进行下肢挽救。13 年的随访显示了良好的功能结果。