| 带旋髂深动脉髂骨瓣与腓肠神经营养血管皮瓣修复跟骨及软组织缺损 |
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| 引用本文： | 叶文斌,郭志民,丁真奇,陈长青. 带旋髂深动脉髂骨瓣与腓肠神经营养血管皮瓣修复跟骨及软组织缺损[J]. 临床骨科杂志, 2011, 14(5): 515-517 |
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| 作者姓名： | 叶文斌 郭志民 丁真奇 陈长青 |
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| 作者单位： | 解放军第175医院骨科,福建,漳州,363000 |
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| 摘 要： | 目的探讨带旋髂深动脉髂骨瓣、腓肠神经营养血管皮瓣修复跟骨及软组织缺损的临床疗效。方法采用游离带旋髂深动脉髂骨瓣联合腓肠神经营养血管皮瓣修复6例跟骨及软组织缺损患者。结果 6例皮瓣骨瓣全部成活。3例皮瓣发生部分边缘性坏死,经换药后创面愈合;1例因跟腱修复失败,二期行踝关节融合术。患者均获得6~20个月随访。术后小腿及足部均有良好外形及部分感觉,部分患者经锻炼后恢复承重功能。结论以带旋髂深动脉髂骨瓣联合腓肠神经营养血管皮瓣修复跟骨及软组织缺损可行,临床疗效满意。
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| 关 键 词： | 腓肠神经营养血管皮瓣 软组织损伤 跟骨 缺损 旋髂深动脉 |
Application of vascularized iliac flap with deep circumflex iliac artery combined with neurocutaneous flap to repair soft tissue and bone defects of calcaneus |
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| YE Wen-bin,GUO Zhi-min,DING Zhen-qi,CHEN Chang-qing. Application of vascularized iliac flap with deep circumflex iliac artery combined with neurocutaneous flap to repair soft tissue and bone defects of calcaneus[J]. Journal of Clinical Orthopaedics, 2011, 14(5): 515-517 |
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| Authors: | YE Wen-bin GUO Zhi-min DING Zhen-qi CHEN Chang-qing |
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| Affiliation: | YE Wen-bin,GUO Zhi-min,DING Zhen-qi,CHEN Chang-qing(Dept of Orthopaedics,the 175th Hospital of PLA,Zhangzhou,Fujian 363000,China) |
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| Abstract: | Objective To investigate the clinical results of vascularized iliac flap based on deep circumflex iliac artery combined with neurocutaneous flap in repairing soft tissue and bone defects of calcaneus.Methods Vascularized iliac bone incorporated with sural neurocutaneous flap were used to repair soft tissue and bone defects of calcaneus in 6 cases.Results The flaps survived completely in 6 cases,whereas 3 cases got marginal necrosis,and finally healed after dress changing.There was 1 case that received ankle... |
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| Keywords: | sural neurocutaneous flap soft tissue injuries calcaneous defect deep circumflex iliac artery |
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