摘要
目的：报道在四肢骨关节部位行显微外科治疗，应用可调外固定器固定使关节早期活动、简化手术的临床效果。方法：在四肢关节部位有骨缺损或骨折伴有血管损伤、皮肤缺损等病例，应用带血管的骨关节块移植、游离血管移植或各种皮瓣移植等显微外科方法修复后的同时，用三针可调外固定器跨关节外固定治疗骨关节损伤，保持各关节的自由活动。结果：治疗手部骨关节缺损１１例；下肢关节部位的不完全离断４例；胫骨近端慢性骨髓炎合并骨和皮肤缺损３例。修复后的骨关节对位对线好，关节间隙存在，术后１～３个月关节活动接近正常，皮瓣全部成活，修复血管后的肢端血运好。结论：该方法在四肢骨关节和血管损伤伴有皮肤缺损的显微外科修复中具有简化手术、损伤小、骨折固定可靠、便于早期关节功能锻炼。
Objective: To report the result of early functional exercises and short operative time by using the external fixation supporter of adjustment for microsurgical operation in the bone and joint of limbs Methods: The defect of bone, skin and vessel in the bone and joint of limbs was treated by microsurgical method and the bone and joint injury was repaired by the external fixation supporter of odjustment cross joint with three Kirschner wires, keeping the free motion of every joint Results: The eighteen cases suffering from defects of bone and joint in hands(11 cases), incomplete amputated lower limbs about the joints (4 cases) and the soft tissue and bone defect of the proximal tibia carrying osteomyelitis (3 cases) were treated, the repaired bone and joint showed normal position and bone union without narrowing of joint space by the X ray films, the average range of motion of the joints was almost normal after the operation for 1 to 3 months All transplanted tissues survived, the extremital limbs of repaired vessels had excellent blood supply Conclusions: Repairring the defcet of bone, skin and vessel in the bone and joint of limbs by microsurgical operation with this method was able to obtain a little injury, stable fix for fracture and exercising early after the operation and promote healing of fracture, and it was able to be easy and quick to operation and be easy to adjust fracture and nurse
出处
《中华显微外科杂志》
CSCD
北大核心
1998年第2期112-114,共3页
Chinese Journal of Microsurgery
