组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (2): 161-.

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互补截骨、镙钉固定的游离腓骨瓣修复前臂长段骨缺损 8 例

  

  • 出版日期:2023-04-01 发布日期:2023-05-09

Repair of forearm long bone defect with fibula free flap fixed by screw and complementary osteotomy in 8 cases

  • Online:2023-04-01 Published:2023-05-09

摘要:

目的 探讨应用互补截骨、镙钉固定的游离腓骨瓣修复前臂长段骨缺损的临床疗效。方法 2013 年 3 月至
2019 年 6 月,应用互补截骨、镙钉固定的游离腓骨瓣修复前臂骨缺损 8 例,其中桡骨 3 例、尺骨 5 例。骨缺损长
度为 4.5~10.5 cm。结果 术后游离腓骨瓣全部成活,其中 1 例发生血管危象,手术探查发现静脉栓塞,行血管移植
后腓骨瓣成活。本组患者术后随访 8~24 个月,按中华医学会手外科分会上肢部分功能评定标准,优 2 例,良 5 例,
可 1 例。小腿供区创面愈合良好,下肢负重及足趾屈伸活动无明显异常。结论 互补截骨、镙钉固定的游离腓骨瓣
修复前臂长段骨缺损效果良好,是一种理想的修复方法。

关键词:

Abstract:

Objective To explore the clinical effect of repairing forearm long bone defect with free fibula flap fixed by screw
and complementary osteotomy. Methods From March 2013 to June 2019, 8 cases of forearm bone defects were repaired by free
fibular flap with complementary osteotomy and screw fixation, including 3 cases of radius and 5 cases of ulna. The length of bone
defect ranged from 4.5 cm to 10.5 cm. Results All the free fibular flaps survived after operation, and one of them had a vascu
lar crisis. Surgical exploration revealed venous embolism, and the fibula flap survived after vascular transplantation. After 8-24
months of follow-up, 2 cases were excellent, 5 cases were good and 1 case was fair according to the evaluation standard of upper
limb function of Chinese Hand Surgery Society. The wound healing of the donor site of the lower leg was good, and there were no
obvious abnormalities in weight bearing of the lower limbs and flexion and extension of the toes. Conclusion Repair of forearm
long bone defect with fibula free flap fixed by screw and complementary osteotomy has good effect, which is an ideal method for
repairing long forearm bone defects

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