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游离分叶股前外侧肌皮瓣修复前臂软组织缺损与功能重建
引用本文:张艳茂,刘会仁,曹磊,王立新,于占永,李国华,吴学强,贾庆灵.游离分叶股前外侧肌皮瓣修复前臂软组织缺损与功能重建[J].中华创伤杂志,2011,27(5).
作者姓名:张艳茂  刘会仁  曹磊  王立新  于占永  李国华  吴学强  贾庆灵
作者单位:唐山市第二医院手外科,063000
摘    要:目的 探讨应用分叶股前外侧肌皮瓣临床修复前臂软组织缺损与功能重建的临床效果.方法应用吻合血管分叶股前外侧肌皮瓣移植修复前臂皮肤和肌肉缺损重建运动功能12例.结果12例分叶肌皮瓣全部成活,伤几均Ⅰ期愈合.随访6~36个月,肌力3~5级.结论 分叶股前外侧肌皮瓣是覆盖前臂创面并重建其功能的较为理想的肌皮瓣.
Abstract:
Objective To discuss the clinical result of the free functioning ramified anterolateral thigh myocutaneous flap in clinical repair of the forearm soft tissue defects and function reconstruction.Methods Twelve patients with forearm skin and muscle defects was reconstructed with the free functioning ramified anterolateral thigh myocutaneous flap transplantation. Results All flaps survived, with one stage healing of the wound. The patients were followed up for 6-36 months, which showed that the muscle strength was at 3-5 grade. Conclusion Free functioning ramified anterolateral thigh myocutaneous flap is an ideal myocutaneous flap to cover the forearm wound and reconstruct the function.

关 键 词:外科皮瓣    骨骼  软组织损伤  前臂

Free functioning ramified anterolateral thigh myocutaneous flap for repair of forearm soft tissue defects and functional reconstruction
ZHANG Yan-mao,LIU Hui-ren,CAO-Lei,WANG Li-xin,YU Zhan-yong,LI Guo-hua,WU Xue-qiang,JIA Qing-ling.Free functioning ramified anterolateral thigh myocutaneous flap for repair of forearm soft tissue defects and functional reconstruction[J].Chinese Journal of Traumatology,2011,27(5).
Authors:ZHANG Yan-mao  LIU Hui-ren  CAO-Lei  WANG Li-xin  YU Zhan-yong  LI Guo-hua  WU Xue-qiang  JIA Qing-ling
Abstract:Objective To discuss the clinical result of the free functioning ramified anterolateral thigh myocutaneous flap in clinical repair of the forearm soft tissue defects and function reconstruction.Methods Twelve patients with forearm skin and muscle defects was reconstructed with the free functioning ramified anterolateral thigh myocutaneous flap transplantation. Results All flaps survived, with one stage healing of the wound. The patients were followed up for 6-36 months, which showed that the muscle strength was at 3-5 grade. Conclusion Free functioning ramified anterolateral thigh myocutaneous flap is an ideal myocutaneous flap to cover the forearm wound and reconstruct the function.
Keywords:Surgical flaps  Muscle  skeletal  Soft tissue injuries  Forearm
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