摘要
目的探讨小腿感染性骨折伴皮肤软组织缺损的手术方法及其疗效。方法采用5种带蒂的肌皮瓣和筋膜皮瓣对20例小腿感染性骨折伴皮肤软组织缺损的患者进行手术修复,皮瓣面积6 cm×5 cm^20 cm×9 cm。结果20例皮瓣中有17例术后全部成活,创面I期愈合;3例皮瓣远端边缘少许坏死,经短期换药后愈合。均获3个月~8年随访,无1例感染复发。结论小腿感染性骨折伴皮肤软组织缺损的治疗,选择适宜的手术时机和手术方法可获得满意的疗效。应用腓肠神经营养血管蒂逆行岛状皮瓣及隐神经营养血管逆行岛状皮瓣是较理想的修复小腿中下1/3段中等面积以下皮肤软组织缺损的方法。
Objective To investigate the operative effects on infective fracture with soft tissue defects in legs. Methods Twenty cases were treated with 5 different kinds of pedicle flap transplants. The area of flaps were 6cm×5cm～20cm×9cm. Results Seventeen flaps survived. Three flaps with partial necrosis of distal edge survived after dressing. All the cases were followed up 3 months to 8 years with no recurrence. Conclusion In order to achieve the desired results ,proper surgery time and surgical indications are important. The repair by retrograde sural nerve flaps and saphenous neurocutaneous island flaps is an effective treatment for infective fracture with soft tissue defects in legs.
出处
《创伤外科杂志》
2007年第3期215-217,共3页
Journal of Traumatic Surgery
关键词
下肢骨折
软组织缺损
感染
皮瓣
leg fracture
soft tissne defects
infection
flap
