摘要
目的探讨外固定器在皮瓣转移手术中的应用。方法根据156例患者创面所在具体部位、创面的性质及致伤因素的不同而选择转移皮瓣，采用单侧外固定器、三维外固定器、组合式骨外固定器及多功能组合式头盆环牵引外固定器分别用于连接固定两侧小腿、前臂与髂骨及前臂与颅骨，以保证转移皮瓣的固定。结果156例除固定小腿中有3例术后发生松动，予以调整后重新固定，其余患者皆达稳定固定。皮瓣有3例边缘部分坏死，其余皆成活。结论外固定器用于转移皮瓣可达到良好的固定效果并减少并发症。
Objective To investigate the application of external fixators in flap transfer. Methods Variant flaps for transfer were selected according to wound location, wound character and injury cause of 156 cases. Single external fixators, three dimensional external fixators, combined external fixators and muhifunctional combined halo-pelvic distraction external fixators were used to fixate two small legs, forearms and iliac bones, forearms and skulls for assuring fixation of transferred flaps. Results Of all, 3 external fixators that fixed small legs were loosened after operation and readjusted. All flaps survived except for 3 with marginal necrosis. Conclusion External fixators can achieve stable fixation and decrease complication for flap transfer.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2007年第7期508-510,共3页
Chinese Journal of Trauma
关键词
软组织损伤
外固定器
外科皮瓣
修复
Soft tissue injuries
External fixators
Surgical flaps
Revision
