抗生素骨水泥封闭创面诱导膜植皮修复肌腱外露创面

目的：评估应用抗生素骨水泥封闭创面形成诱导膜后植皮修复肌腱外露创面的可行性。方法：自2016年2月至2018年12月，收治肌腱外露创面10例，其中男6例，女4例；年龄19～43岁，平均34.6岁；病程2～6个月；交通事故伤7例，机器皮带绞伤3例；其中小腿及足部创面8例，手背创面2例。对于这些创面采用抗生素骨水泥封闭创面形成诱导膜后植皮进行修复，观察移植皮肤成活情况、外形、质地、感觉、伤口愈合情况。结果：10例中8例Ⅰ期植皮全部成活，2例部分植皮坏死，换药后痊愈。结论：采用抗生素骨水泥封闭创面形成诱导膜后植皮可有效修复肌腱外露创面，具有操作简单、创伤小的特点。

Application of membrane induced by antibiotic-loaded bone cement in skin grafting for tendon exposed wound healing

Objective: To evaluate the effects of membrane induced by antibiotic-loaded bone cement in skin grafting for tendon exposed wound healing.Methods: A total of 10 traumatic patients with tendon exposed wound were admitted to our department between February 2016 and December 2018,including 6 males and 4 females,with a mean age of 34.6 years old(ranged,19 to 43 years old),and treatment duration ranged from 2 to 6 months. There were 7 cases of traffic accidents,3 cases of mechanical belt injuries,including 8 cases of lower leg and foot wounds and 2 cases of hand back wounds. These tendons exposed wound were covered by antibiotic-loaded bone cement at the earlier stage to induce the formation of the biomembrane,and then skin grafting were performed on the induced membrane. The survival,appearance,texture,sensation of the skin grafting and healing condition of the wounds were studied.Results: Among the 10 patients,skin graft survived well in 8 patients. Partial skin graft necrosis occurred in 2 patients and cured by dressing.Conclusion: Using antibiotic bone cement to seal the wound to form induction membrane followed by skin grafting can effectively repair the tendon exposed wound,which has the characteristics of simple operation and less trauma.