内踝缺损再造与重建

目的：研究创伤造成的内踝部骨及软组织缺损再造及重建的方法。方法：采用(带血管)髂骨块携带筋膜条状皮瓣或吻合血管的游离皮瓣组合移植同期或分期再造内踝骨、三角韧带及皮肤组织。结果：经采用髂骨重建带后，经随访踝关节的稳定性良好，内翻角与健侧基本相同，无侧方及前后的关节异常活动，行走负重功能恢复论：内、外踝的完整性对踝关节功能有重要的影响，采用髂骨与皮瓣组合修复方法重建内踝缺损，可恢复踝关节，获得满意功能。

Reconstruction of Medial Malleolus

Objective: To study the reconstuctive methods for defects of bone and skin in medial malleolus during traumatic injury. Methods:Free iliac bone with a piece of fascial strip is incorporated with flap to reconstruct the deficits in medial malleolus both bone and soft tissue in one stage or by stages. Results: Such method proved to restore the stability and functions of ankle joint satisfactory. Normal medial rotation range without abnormal motion on articular surface level were restored even after 6 to 24 months follow-up. Conclusion: It is essential for ankle functions to keep integrity of both malleolus. Good stability and function of ankle joint are available by using iliac bone incorporating with flap transplantation to the defect of medial malleolus.