摘要
用半环槽式外固定器，在病灶切除后，用肌皮瓣、局部皮瓣及筋膜间隙岛状皮瓣等局部转移覆盖胫骨外露。对骨不连、骨缺损之骨断端稍加修整，进行加压固定，如果骨缺损较大而小腿有短缩者，则同时作胫骨近侧干骺端截骨牵伸延长。患者可早期下地，逐渐负重，可促进骨折愈合。用此法治疗１５例，收到良好的效果，认为是治疗小腿严重创伤并发胫骨外露，骨不连及骨缺损的一种新方法，简便、安全。
AbstractThe authors used a semicircular external fixator frame for the fixation of the fractured tibia,after excision of the infected focus,the coverage of the exposed tibiawith musculocutaneous flap,local skin flap or fasciocuta-neous is land flape,for the treatment of non-union of thetibia. The exposed fracture ends were reshaped followedby compression fixation. In cases when the bone defectwas too long and resulted in much shortening of the limb,csteotomy and traction at the proximal metaphysis wereemployed.During the treatment,the patients were encour-aged early a mbulation and gradual weight bearing.Total-ly,15 cases were so treated and the results were all satis-factory
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第10期583-585,共3页
Chinese Journal of Orthopaedics
