摘要
目的探讨四肢大段骨缺损修复方法及疗效。方法自2002年6月至2009年6月对18例四肢长骨骨缺损(其中6例合并皮肤缺损),皮肤缺损8cm×3cm^20cm×7cm,骨缺损6~14cm;采用吻合血管的腓骨(皮)瓣移植加自体植骨治疗,其中切取骨皮瓣面积9cm×4cm^23cm×8cm,切取腓骨瓣长8~18cm。结果 6例骨皮瓣及12例骨瓣全部成活;随访12~36个月,平均18个月,骨生长良好,骨折全部愈合,获得满意外形及功能,移植骨12个月后增粗与受区骨基本相似。结论游离腓骨(皮)瓣是修复四肢长段骨缺损伴皮肤缺损的较好方法。
Objective To explore the curative effects of repairing method and the large segmental bone defect of limbs. Methods From 2002 June to 2009 June, 18 cases of long bone defects of limbs （including 6 cases with skin defect of skin defect）, 8cm×3cm to 20cm×7cm, bone defect of 6-14cm; with vascularized fibular （skin） flap transplantation with autologous bone grafting for the treatment of bone flap, which cut area of 9cm×4cm to 23cm×8cm, the fibular flap length 8-18era. Results 6 cases of bone flap and 12 cases of bone flap all survived; follow-up for 12-36 months, average 18 months, bone growth is good, all fractures healed, with satisfactory appearance and function, bone graft 12 months after thickening and recipient bone similar. Conclusion Free fibula flap （skin） is a good method to repair segmental bone defects of limbs with skin defect.
出处
《中国医药指南》
2013年第20期424-425,共2页
Guide of China Medicine
关键词
显微外科
骨缺损
腓骨瓣
Microsurgery
Bone defect
Fibula flap
