| 游离股前外侧皮瓣加外固定架治疗小腿骨折合并软组织缺损 |
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| 引用本文： | 张艳茂,刘会仁,曹磊,刘志旺,王岩,李国华,吴学强,贾庆灵.游离股前外侧皮瓣加外固定架治疗小腿骨折合并软组织缺损[J].西部医学,2010,22(3):481-482,484. |
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| 作者姓名： | 张艳茂 刘会仁 曹磊 刘志旺 王岩 李国华 吴学强 贾庆灵 |
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| 作者单位： | 唐山市第二医院手外科,河北,唐山,063000 |
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| 摘 要： | 目的总结应用股前外侧皮瓣加外固定架治疗小腿骨折合并软组织缺损临床疗效。方法应用股前外侧皮瓣加外固定架治疗小腿骨折皮肤软组织缺损骨外露、感染85例患者。结果85例患者中除1例所切取的皮辩出现皮肤、皮下组织坏死，筋膜戍活，后期游离植皮成活外，其余全部成活。6例伤口渗液，二期死骨摘除后愈合，其余伤口均一期愈合。术后随访6～24个月，无再感染，保留了肢体并且均恢复一部分感觉。结论应用股前外侧皮辩加外固定架治疗小腿骨折软组织缺损，具有骨折固定可靠、创面覆盖满意、早期进行关节功能练习等优点。
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| 关 键 词： | 小腿骨折 股前外侧皮瓣 移植 外固定架 |
Treatment of fracture of lower leg combined with soft tissue defect with free anterolateral thigh flap and external fixation |
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| ZHANG Yan-Mao,LIU-Huiren,CAO-Lei,et al.Treatment of fracture of lower leg combined with soft tissue defect with free anterolateral thigh flap and external fixation[J].Medical Journal of West China,2010,22(3):481-482,484. |
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| Authors: | ZHANG Yan-Mao LIU-Huiren CAO-Lei |
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| Institution: | ZHANG Yan-Mao,LIU-Huiren,CAO-Lei,et al(Department of H, Surgery,The Second Hospital of Tangshan.Tangshan 063000,Hebei,China) |
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| Abstract: | Objective To study the application of free anterolateral thigh flap and external fixation to cure the fracture of lower leg combined with soft tissue defect.Methods 85 patients were treated with free anterolateral thigh flap and exteral fixation to cure the fracture of lower leg combined with soft tissue defect.Results Of 85 cases,the flaps survived,but the 1case skin and subcutaneous tissue was necrosis in 1 case.In 6 casese,the wounds seepaged and healed after the bone sequestrum removed.Conclusion It is ... |
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| Keywords: | Fracture of lower leg Anterolateral thigh flap Transplant External fixation |
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