| 腓肠肌外侧头肌皮瓣前界扩大的改良及其临床应用 |
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| 引用本文： | 董忠根,刘立宏,倪江东,何爱咏,李贺君,马炳栋,武文. 腓肠肌外侧头肌皮瓣前界扩大的改良及其临床应用[J]. 中国临床解剖学杂志, 2010, 28(1): 101 |
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| 作者姓名： | 董忠根 刘立宏 倪江东 何爱咏 李贺君 马炳栋 武文 |
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| 作者单位： | 中南大学湘雅二医院骨科， 长沙 410011 |
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| 摘 要： | 目的介绍腓肠肌外侧头肌皮瓣前界扩大的改良方法及其临床疗效和优点。方法腓肠肌外侧头肌皮瓣的前界范围由腓骨体表投影扩大至胫骨前嵴,将创面的外缘作为皮瓣前缘的一部分。行前界扩大的改良腓肠肌外侧头肌皮瓣21例,修复的创面位于小腿上1/3段9例,中1/3段前内侧7例,中1/3段前外侧5例。21例皮瓣前缘均超过腓骨前缘,其中2例达胫骨前嵴,位于小腿前骨筋膜室表面的皮瓣部分宽度为2.5～7.0cm,平均4.0cm。结果19例皮瓣完全成活,2例皮瓣下缘分别为外踝上5cm和3cm的皮瓣远端出现部分坏死。结论腓肠肌外侧头肌皮瓣前界扩大改良后,皮瓣设计及手术操作简便,增加了皮瓣的宽度和有效长度,其适应症也相应扩大,可修复小腿中、上1/3段胫前创面,并且成活可靠。
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| 关 键 词： | 腓肠肌 肌皮瓣 软组织缺损 |
| 收稿时间： | 2009-05-25 |
The modification of lateral gastrocnemius myocutaneous flap with extended anterior margin and its clinical application |
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| DONG Zhong-gen,LIU Li-hong,NI Jiang-dong,et al.. The modification of lateral gastrocnemius myocutaneous flap with extended anterior margin and its clinical application[J]. Chinese Journal of Clinical Anatomy, 2010, 28(1): 101 |
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| Authors: | DONG Zhong-gen LIU Li-hong NI Jiang-dong et al. |
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| Affiliation: | Department of Orthopaedics, the 2nd Xiang Ya Hospital, Central South University, Changsha 410011, China |
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| Abstract: | Objective To introduce the modified lateral gastrocnemius myocutaneous flap with extended anterior margin and its clinical features.Methods The anterior margin of the flap was extended from the overlying of fibula to the crista anterior tibiae,and anterior border located in lateral border of defects.21 cases were treated with modified lateral gastrocnemius myocutaneous flaps,with 9 cases in upper 1/3 segment of the cnemis,7 in anteriomedialis of middle 1/3 segment of the cnemis,and 5 in anteriolateral of mi... |
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| Keywords: | Gastrocnemius Myocutaneous flap Soft tissue defect |
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