吻合血管的腓骨皮瓣治疗胫骨合并软组织缺损

目的探讨应用对侧游离腓骨皮瓣移植治疗胫骨及胫前软组织缺损的疗效。方法对创伤所致胫骨合并胫前软组织缺损的13例患者,在彻底清创后,一期行吻合血管的腓骨皮瓣移植重建。结果经17～24个月随访,移植的腓骨皮瓣全部成活,无1例出现截肢及慢性骨髓炎,下肢外形、功能均恢复满意。结论胫骨骨缺损,同时合并软组织缺损的病人,给予对侧吻合血管的腓骨骨皮瓣移植,在临床上是一种较为可靠的方法。

Treatment of soft tissue and tibia defects by using vascularized fibular skeletal flaps

Aim To explore the curative effect of vascularized fibular skeletal flaps from the other side in treatment of soft tissue and tibia defects.Methods A total of 13 patients with severe comminuted fractures of tibia,skin and soft tissue defects were reconstructed by using the opposite vascularized fibular skeletal flaps at first stage after thorough debridement.Results All patients were followed up for 17~24 months,and severe comminuted fractures of tibia was healed.No amputation was needed and no chronic osteomyelitis occurred.The circulation of revascularized limbs was good and the contour and function were restored satisfactorily.Conclusion It is a reliable choice to reconstruct the defect of the soft tissue and tibia by using contralateral vascularized fibular skeletal flaps.