带筋膜蒂桡骨瓣在第1掌骨缺损中的应用 |
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引用本文: | 缪旭东,闫乔生,贾晶,许有,徐佳.带筋膜蒂桡骨瓣在第1掌骨缺损中的应用[J].实用手外科杂志,2013(3):344-345,348. |
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作者姓名: | 缪旭东 闫乔生 贾晶 许有 徐佳 |
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作者单位: | 中国人民解放军第五医院骨科,宁夏银川750004 |
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摘 要: | 目的介绍应用带筋膜蒂桡骨瓣治疗第1掌骨缺损的手术方法。方法对9例外伤性第1掌骨缺损患者,设计带桡侧筋膜蒂的桡骨下段骨瓣进行修复。结果术后经6-48个月随访,移植骨块全部骨性愈合,手功能按手外科学会上肢功能评定标准评定,优7例,良2例。结论骨瓣切取方便,血供可靠且不损伤主要血管,是修复手部软组织伴骨缺损的较好方法。
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关 键 词: | 骨缺损 组织移植 骨皮瓣 |
Transfer of radius fascia bone-skin flap for repairing the first metacarpal bone defect |
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Institution: | MIAO Xu-dong, YAN Qiao-sheng, JIA Jing, et al (Department of Orthopedics, The Fifth Hospital of PLA, yinchuan, Ningxia, 750004, China) |
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Abstract: | Objective To report the treatment outcome of transfering radius fascia bone-skin flap for repairing the first metacarpal bone defect. Methods 9 patients with the first metacarpal bone defect were repaired by transfering radius fascia bone-skin flap. Results All the bone-skin flaps completely survived. The patients were followed-up for 6 to 48 months postoperatively, the bone union was obtained in all transplants.According to the upper arm function assessment criterion issued by hand surgery association of Chinese Medical Association, excellent results was in 7 cases and good results was in 2 case. Conclusion The radius fascia bone-skin flap has following advantages: easy dissection, reliable blood supply, and no major blood vessel needed to be sacrificed, so it is an effective procedure for repairing the first metacarpal bone defect. |
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Keywords: | Bone defect Tissue transplantation Bone-skin flap |
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