摘要
目的探讨应用比目鱼肌肌瓣修复小腿胫前中、下段软组织缺损合并胫骨开放性骨折和（或）骨髓炎的有效性。方法2007年5月至2011年12月，应用远侧端为全部、近侧端为内侧部的蒂在上端的比目鱼肌肌瓣修复8例小腿胫中、下段软组织缺损合并胫骨开放性骨折和（或）骨髓炎患者，缺损面积为8cm×6cm-12cm×10cm，其中5例合并慢性骨髓炎，3例合并开放性骨折并发急性骨髓炎。比目鱼肌肌瓣表面以大张中厚皮片覆盖，供瓣区直接闭合。结果8例患者所移植的比目鱼肌肌瓣，以及覆盖其上的大张中厚皮片均全部成活，且肌肉组织覆盖可靠、骨折愈合，术后随访2—54个月，小腿外形和功能均满意。结论比目鱼肌肌瓣是修复小腿胫前中、下段软组织缺损合并胫骨开放性骨折和（或）骨髓炎的有效和可行的方法，供区损伤小，修复效果好。
Objective To investigate the efficacy of surgical method with the soleus muscle flap for repairing the soft-tissue defects in the middle and distal thirds of the leg, combined with open tibial fracture and/or osteomyelitis. Methods From May 2007 to December 2011, 8 cases with soft-tissue defects in the middle and distal thirds of the leg were treated with soleus muscle flaps, including 5 cases with chronic osteomyelitis and 3 cases with open tibial fracture and acute osteomyelitis. The defects size ranged from 8 cm×6 cm to 12 cm × 10 cm. The surface of muscle flaps was covered by split-thickness skin graft. The defects at the donor site were closed directly. Results All the muscle flaps and skin grafts survived completely and fracture was healed. The patients were followed up for 2 to 54 months with satisfactory cosmetic and functional results. Conclusions The soleus muscle flap is an effective and feasible method for reconstruction of the soft-tissue defects in the middle and distal thirds of the leg, combined with open tibial fracture and/or osteomyelitis. The morbidity at donor sites is also minor.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2012年第4期264-267,共4页
Chinese Journal of Plastic Surgery
关键词
肌瓣
缺损
小腿
Muscle flap
Defect
Leg
