title: [Fasciocutaneous flap--a simple alternative to the musculocutaneous or free, microvascular flap of the lower extremity?].
abstract: Fasciocutaneous flaps demonstrate, in comparison to subcutaneous transposition flaps, far better local hemodynamic circulation and the length to width ratio can be increased to 3:1 or 5:1 so that they provide a simple method of closure in soft tissue defects. Fasciocutaneous flaps can be prepared rapidly and simply, due to the subfascial dissection, so that traumatic soft tissue defects can be closed directly. The donor site is closed with a split skin graft. Free musculocutaneous flaps and regional musculocutaneous island flaps are far more useful in large muscular defects, degloving injuries and osteomyelitis.
authors.affiliation: Abteilung für Plastische, Wiederherstellende- und Handchirurgie, Klinikum Bogenhausen, München, Bundesrepublik Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Heinrich
authors.forename: E
authors.initials: E
authors.lastname: Falter
authors.forename: E
authors.initials: E
authors.lastname: Herndl
authors.forename: W
authors.initials: W
authors.lastname: Mühlbauer
mesh_terms: D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008545:Melanoma / Q000601:surgery*; D009336:Necrosis; D011183:Postoperative Complications / Q000601:surgery; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D013978:Tibial Fractures / Q000601:surgery*
vernacular_title: Der fasziokutane Lappen--eine einfache Alternative zum muskulokutanen oder freien, mikrovaskulären Lappen an der unteren Extremität?