摘要
目的:报道吻合血管的骨膜皮质骨瓣移植治疗肱骨骨不连及骨缺损。方法:1985年至1994年,采用吻合血管的髂骨骨膜皮质骨瓣修复外伤性肱骨骨不连13例。结果:13例于术后获得平均7.5个月的随访,骨不连处均达骨性愈合,愈合时间平均为2个月。结论:吻合血管的骨膜皮质骨瓣,移植后具有骨膜与骨质移植的双重效果。即使仅切取少量的骨质作移植,也能给骨不连处提供具有独立血供的移植骨,以加速骨质愈合。该术式取骨量可减少至最低限度,对供区外形、功能无任何影响。
Objective: To report the therapeutic results of treatment of humerus nonunion by periosteum-cortex bone grafting with vascular anastomosis. Methods: From 1985～1994, 13 cases of disunited fractures of humerus were treated by periosteum-eortex iliac bone grafting with vascular anastomosis. Results: Bony union was obtained in all cases after an average of 7.5 months follow-up. The healing process last for an average of 2 months. Conclusions: The periosteum-cortex bone graft is composed of both periosteum and bone, Even with a little cortex bone,the graft introduced its own independent blood supply to the recipient site and facilitated bone healing. The decreased amount of bone harvested in the donor site left the contour and function of the donor region unaffected.
出处
《中华手外科杂志》
CSCD
1997年第3期169-171,共3页
Chinese Journal of Hand Surgery
