应用髂骨皮瓣移植修复胫骨缺损伴小腿组织缺损

目的：探讨髂骨皮瓣移植修复胫骨缺损伴小腿组织缺损的方法和临床效果．方法：1996年4月-2003年3月，应用旋髂深血管为蒂的髂骨皮瓣移植。治学胫骨缺损伴小腿软组织缺损27例．男17例．女10例，年龄16-52岁，平均35岁．结果：27例髂母皮瓣均完宝成活，胫骨及软组织缺损Ⅰ期修复。骨折愈合快。植骨与骨折端于术后2-4个月达临床愈合，术后4～9个月达骨性愈合。患肢功能恢复良好。无一例发生骨不连、骨坏死、关节僵硬等并发症．结论：吻合旋髂深血的髂骨皮瓣移植。可11期修复胫骨缺损伴小腿软组织缺损，促进骨折愈合。是目前治疗胫骨缺损伴小腿软组织缺损的有效方法．

The Application about the Transplantitation of Cutaneous Iliac Flap Combined to Repair of Defect of the Tibia and Soft Tissue of the Leg

Objective:To describe the method and the clinical effect of the transplantation of cutaneous iliac flap for the repair of the defect of tibia and soft tissue of the leg. Methods:Between Aprial 1996 and March 2003, 27 cases tibial fractures associated with bone and soft tissue defects of the leg were treated by transplantation of the groin osteocutaneous flap with the deep circumflex iliac vessls.There were 17 males and 10 females with the the age ranged from 16 to 52 years and an average of 35 years. Results: All the osteocutaneous flaps survived completely after operation; the defects were repaired at one setting;The bone graft healed with the host bone in four to nine months.The recovery of function of the limb were satisfactory.There were no major complicaton in this series. Conclusion: The groin osteocutaneous flap with the deep circumflex iliac vessels can be used to repair the bone and soft tissue defects in the tibia at one setting.