摘要
目的探讨游离组织瓣移植联合应用外固定器固定骨、关节用于修复肢体组织缺损的临床效果.方法选择上肢和下肢由于创伤造成骨、关节合并软组织、皮肤缺损等病例共28例,应用游离组织瓣移植,包括骨皮瓣、肌皮瓣、皮瓣移植,同时采用A-O管状外固定器、单侧多功能外固定器、微型单侧多功能外固定器及单侧踝关节外固定器行骨关节外固定,加速骨质愈合,促进组织瓣存活.结果 28例患者肢体骨关节缺损愈合良好,移植皮瓣全部成活,术后上肢10～16周、下肢6～8个月拆除外固定器,肢体功能恢复满意,无畸形及骨不连接.结论应用组织瓣移植同时以外固定器固定骨关节对肢体组织的复合性缺损进行修复和重建,具有骨关节固定简单可靠,肢体及移植组织损伤小,便于观察血运,肢体功能得以早期训练以及护理便利等优点.
Objective To report the clinical result of repairing complex tissue defect in limb using both tissue flap transplantation and external fixer.Method The vascular tissue flaps including bone flap and muscular flap for repairing complex tissue defection（ soft tissue, bones, joints） in forearm, hand, leg, ankle and foot were applied in 28 cases. During surgery, injured bones and joints were fixed by external fixer for stabilization and accelerating cure. Result All 28 cases were successful with transplanted tissue combined with external fixation. The external fixers were removed after 10 -16 weeks（ upper extremity） or 6 -8 months（lower extremity） and all patients satisfactorily recovered. Conclusion Transplantation of tissue flap combined with external fixation is a reliable and simple method for repairig and reconstruction of complex defect. It is also characterized by minor injury on transplanted bones, enabling early exercise for joints, convenient observation of flap circulation and easy nursing.
出处
《广东医学》
CAS
CSCD
北大核心
2005年第12期1612-1613,共2页
Guangdong Medical Journal
基金
广东省深圳市科研基金立项项目(编号:200104063)
关键词
组织瓣
移植
外固定器
缺损
肢体
Tissueflap Transplantation Extemal fixer Complex defection Limb
