外固定架联合带蒂皮瓣用于胫骨骨折术后感染并骨外露治疗的疗效分析

[目的]分析并总结利用外固定架联合带蒂皮瓣治疗胫骨骨折术后感染并骨外露的临床效果。[方法]总结我院2008~2009年收治的小腿胫骨骨折术后感染、骨及钢板外露者13例,治疗用外固定支架联合克氏针重建骨稳定性,采用同侧小腿内、外侧血管蒂皮瓣。[结果]治疗患者所有转移皮瓣全部成活良好,经6～36个月随访,平均24个月,所有骨折患者均愈合良好,下肢功能恢复良好,未见明显感染。[结论]外固定架联合带蒂皮瓣是治疗胫骨骨折术后感染并骨外露切实有效的临床手段。

COMBINED WITH EXTERNAL FIXATION FOR TIBIAL FRACTURES WITH PEDICLE FLAPS AND POSTOPERATIVE INFECTION OF THE THERAPEUTIC EFFECT OF BONE EXPOSURE

[Objective]To analyze and summarize the joint use of pedicle flaps treated with external fixation of tibial fractures after infection and the clinical effect of bone exposure.[Methods]13 cases with tibial fractures leg after infection,bone and plate exposure were collected from 2008 and 2009 in our hospital,external fixation was used for reconstruction of bone stability Kirschner,and we also used the ipsilateral leg,the lateral vascular pedicle flap.[Results]All patients transferred flaps survived well and ...