| 腓肠神经逆行岛状皮瓣联合骨外支架治疗胫骨开放性骨折 |
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| 引用本文： | 钟志联,叶劲,莫茅,陈伟明,邓永高.腓肠神经逆行岛状皮瓣联合骨外支架治疗胫骨开放性骨折[J].广州医学院学报,2005,33(5):48-49. |
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| 作者姓名： | 钟志联 叶劲 莫茅 陈伟明 邓永高 |
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| 作者单位： | 云浮市人民医院外科,广东,云浮,527300 |
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| 摘 要： | 目的：探讨腓肠神经逆行岛状皮瓣联合外支架治疗胫骨开放性骨折的手术方法及临床疗效。方法：18例胫骨开放性骨折患者，清创后应用外支架固定，Ⅱ期行腓肠神经逆行岛状皮瓣闭合伤口。结果：18例均皮瓣成活，2例部分皮肤坏死经换药后治愈。15例骨折临床愈合，3例需行髓内钉固定治疗。结论：腓肠神经逆行岛状皮瓣联合外支架治疗胫骨开放性骨折具有较好临床效果。
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| 关 键 词： | 腓肠神经逆行岛状皮瓣 外固定支架 胫骨开放性骨折 |
| 文章编号： | 1008-1836(2005)05-0048-02 |
| 收稿时间： | 09 20 2005 12:00AM |
| 修稿时间： | 2005年9月20日 |
The Treatment of Open Tibial Fractures Using Distally-based Island Flap Pedicled with Sural Nerve and External Fixation Apparatus |
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| ZHONG Zhi-lian,YE Jin,MO Mao,CHEN Wei-ming,DENG Yong-gao.The Treatment of Open Tibial Fractures Using Distally-based Island Flap Pedicled with Sural Nerve and External Fixation Apparatus[J].Academic Journal of Guangzhou Medical College,2005,33(5):48-49. |
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| Authors: | ZHONG Zhi-lian YE Jin MO Mao CHEN Wei-ming DENG Yong-gao |
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| Abstract: | Objective:To discuss the operation and clinical effect of the treatment of open tibial fractures with the sural nerve pedicled island flap and external fixation apparatus.Methods:External apparatus was used to fix after debridement and the wound closured in secondary operation by sural nerve pedicled island flap in 18 cases of open tibial fractures.Results: 18 case's flap survived.Partial skin necrosis occurred in 2 cases and then healed with debridement and dressing change.15 fractures healed,and the other 3 were treated using the intramedullary interlocking nails.Conclusion: treatment of open tibial fractures with the sural nerve pedicled island flap and external fixation apparatus showed desirable outcomes in the patients. |
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| Keywords: | sural nerve pedicled island flap external fixation apparatus open tibial fractures |
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