摘要
目的:评价应用带血管的游离肌皮瓣、局部植骨结合有限内固定治疗因慢性感染而导致的骨不连、骨缺损伴软组织缺损的方法及临床疗效。方法:对18例胫骨、肱骨、股骨、掌骨、桡骨骨缺损伴软组织缺损骨外露的患者,均采用了带血管的游离肌皮瓣、植骨或带血管游离腓骨移植、结合适当内固定进行修复。结果:18例中16例皮瓣成活、骨性愈合后中2例皮瓣成活,仍有骨缺损,经二次手术植骨,其骨性愈合。结论:游离肌皮瓣结合有限内固定是修复慢性感染源性骨缺损及软组织缺损的唯一有效方法。
Objective： To evaluate the clinical application of free myocutaneous flap with blood vessel,local bone grafting combined with limited internal fixation in the treatment of infected nonunion of bone or defect of bone plus defect of soft tissue.Methods： Eighteen cases of infected bone defect with soft tissue defect and bone exposed in shin,humerus,thigh-bone,metacarpal bone,and radius were treated surgically using free myocutaneous flap with blood vessel,bone grafting or free fibula transplantation with blood vessel combine proper internal fixation.Results： Survival of flaps and union of bone were acquired in 16 cases after the surgery,meanwhile,2 cases with survived flaps remained bone defect received a second surgery.Conclusion： It is the only effective way of using free myocutaneous flap combines limited internal fixation to repair the infected defect of bone with defect of soft tissue.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2012年第1期116-118,共3页
Medical Journal of Wuhan University
关键词
游离肌皮瓣
慢性骨髓炎
骨缺损
Free Myocutaneous Flap
Chronic Osteomyelitis
Defect of Bone
