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游离腓骨骨皮瓣加单臂外固定架治疗胫骨骨缺损
引用本文:李卫,刘金伟,张玉玲,李春雨,蔡厚洪,林绍仪,吴举,何藻鹏,梁观钦.游离腓骨骨皮瓣加单臂外固定架治疗胫骨骨缺损[J].临床骨科杂志,2013(6):692-694.
作者姓名:李卫  刘金伟  张玉玲  李春雨  蔡厚洪  林绍仪  吴举  何藻鹏  梁观钦
作者单位:广东省创伤救治科研中心乐从临床基地,佛山市顺德区乐从医院创伤外科,广东佛山528315
摘    要:目的 探讨游离腓骨骨皮瓣治疗胫骨骨缺损的方法和临床疗效.方法 采用吻合血管的游腓骨骨皮瓣移植加单臂外固定架治疗12例因创伤、慢性骨髓炎导致的胫骨骨缺损患者.结果 患者腓骨骨皮瓣携带皮岛血运均良好,切口均一期愈合.12例均获随访,时间12~48个月.全部骨性愈合,患者恢复行走功能.结论 吻合血管的游离腓骨骨皮瓣移植加单臂外固定架治疗胫骨骨缺损临床疗效满意.

关 键 词:胫骨骨缺损  腓骨骨皮瓣  外固定架  植骨

The fibula osteocutaneous flap transfer combined with unilateral external fixation in treatment of tibial bone defect
LI Wei,LIU Jin-wei,ZHANG Yu-ling,LI Chun-yu,CAI Hou-hong,LIN Shao-yi,WU Ju,HE Zao-peng,LIANG Guan-qin.The fibula osteocutaneous flap transfer combined with unilateral external fixation in treatment of tibial bone defect[J].Journal of Clinical Orthopaedics,2013(6):692-694.
Authors:LI Wei  LIU Jin-wei  ZHANG Yu-ling  LI Chun-yu  CAI Hou-hong  LIN Shao-yi  WU Ju  HE Zao-peng  LIANG Guan-qin
Institution:( Lecong Clinical Basement of Scientific Research Center for Trauma Treatment in Guangdong Province ; Dept of Traumatology, Lecong Hospital of Shunde District, Foshan , Guangdong 528315 China)
Abstract:Objective To explore the efficacy and method of free fibula flap in the treatment of tibial bone defect. Methods 12 cases of tibial bone defect caused by traumatic or chronic osteomyelitis were treated with the fibula os-teocutaneous flap transfer combined with unilateral external fixation. Results All the skin islands of fibula flaps had good blood supply, and the incision healed. 12 cases were followed up for 12 -48 months, all the fractures healed. All cases obtained bone union and recovered the ability to walk. Conclusions It is effective for treatment of tibial bone defect by using the fibula osteocutaneous flap transfer combined with unilateral external fixation.
Keywords:tibial bone defect  fibula osteocutaneous flap  external fixation  bone graft
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