骨膜内双段腓骨复合小腿外侧皮瓣移植修复胫骨及皮肤缺损

目的：探讨下肢胫骨及皮肤缺损同时修复的临床方法。方法将腓血管制成1个或2个血管襻，该血管襻携带皮瓣，再将多段腓骨于骨膜内复合在一起，使成为一个骨膜包裹的粗骨修复胫骨与皮肤缺损。有丰富血运的骨膜，其骨膜下新生骨活跃，该新生骨充填骨膜内与腓骨段间隙、包绕腓骨，使移植腓骨增粗。结果3例胫骨缺损均获得良好骨愈合，移植骨无折断，皮瓣成活良好。供腓骨侧踝关节稳定，伸屈范围正常，功能恢复正常。结论骨膜内双段腓骨复合小腿外侧皮瓣移植是修复胫骨与皮肤缺损的良好方法。

Periosteal double fibular composite ectocnemial skin flap for repairing skin defect of the tibia

Objective To investigate the clinical method of simultaneous repair of tibia and skin defect of lower limbs. Methods Peroneal artery vascular loop made 1 or 2, the vascular loop carries flaps, fibular periosteum composite together, makes a thick bone repair of tibial periosteum wrapping and skin defects. Periosteum with extensive blood supply, its active subperiosteal new bone, periosteal new bone filling in the gap, wrapped around the fibula tibia and fibula, fibula graft augmentation. Results Good results were obtained for 3 cases of defect of the tibia bone healing, bone graft without breaking, flap was good. By-fibular side ankle stability, Flex scope properly, functions returned to normal. Conclusion Periosteum double fibular composite ectocnemial skin flap repair of skin defect of the tibia and good practices.