摘要
目的报道采用吻合血管的折叠式腓骨皮瓣修复胫骨大段缺损伴骨外露的方法,并观察其临床疗效。方法采用吻合血管的折叠式腓骨皮瓣修复胫骨大段缺损伴骨外露5例。胫骨缺损6～10cm,皮肤软组织缺损范围4cm×5cm～7cm×18cm。保持骨膜的连续性,将腓骨截骨后折叠形成双管状腓骨皮瓣,移植修复胫骨及皮肤缺损。结果术后移植组织全部成活,皮瓣弹性、色泽良好,术后3～4个月患肢开始负重,术后随访8～10个月,复查X线片示腓骨与胫骨骨性愈合良好,恢复行走功能。结论吻合血管的折叠式腓骨皮瓣修复胫骨大段缺损伴骨外露及皮肤软组织缺损是可靠、有效的治疗方法,值得临床推广应用。
Objective To report the method of primarily repairing massive bone defect and exposure of the tibia with vascularized double barrel fibula flap, and to evaluate the clinical outcome. Methods Five patients suffering from massive bone defect and exposure of the tibia underwent microsurgery reconstruction with vascularized double barrel fibula flap. The length of the tibial defect ranged from 6 cm to 10 cm. The size of the skin and soft tissue defect was 4 cm × 5 cm to 7 cm × 18 cm. With the continuity of the fibular periosteum kept, the fibula was cut into several segments, folded into double barrel fibula flap, and then fixed into the defect of the tibia and skin. Results All of the transplantation survived well. The colour and elasticity of the flap was satisied. The repaired limbs started weight-bearing at the third to fourth postoperative month. The patients were followed up from 8 to 10 months postoperatively. Postoperative X-ray showed bone union was reconstructed well between the tibia and the fibula, and function has restored. Condusion It is a reliable and effective method to repair massive defect of the tibia and the skin and soft tissue with vascularized double barrel fibula flap.
出处
《中华显微外科杂志》
CSCD
北大核心
2007年第4期264-266,I0009,共4页
Chinese Journal of Microsurgery
关键词
胫骨
腓骨皮瓣
移植
显微外科
Tibia
Fibular flap
Transplantation
Microsurgery
