腓骨复合皮瓣Ⅰ期修复尺桡骨及软组织缺损

为完成尺桡骨及其软组织缺损的Ⅰ期修复,设计采用吻合血管的腓骨复合皮瓣并将腓骨折分为二的手术方法,已用于4例,都获满意效果,文中详细介绍了手术操作方法,并对本法的特点进行了阐述。

Repairing bone and soft tissue defects of the forearm with a composite segmented-fibula osteoseptocutaneous flap

The segmented-fibula osteoseptocutaneous flap has been used to repair tee bone and soft tissue defects of the forearm.During the operation,the fibula is divided subperiosteally at proper site ac- cording to the bony defects.The two segments of the fibula were then inserted to the radial and ulnar defects before vascular anastomosis is performed.Experience shows that anastomosis of only one group of vessels can ensure survival of both the segmented fibula and the cutaneous flap.Care should be taken to protect the muscle cuff and periosteum of the fibula,which is the source of blood supply to one seg- ment.Four patients with bone and soft tissue defects of the forearm have been treated using this method.All the flaps survived with good function.The success of this technique contributes to the appli- cation of the free fibular flap in repair of forearm injury or osteomyelitis.