摘要
目的 探讨应用显微外科技术治疗小腿骨折合并严重软组织缺损的合理方式。 方法 早期彻底清创 ,重建肢体血运 ,选择髓内钉、外固定支架及钢板固定骨折及应用各种不同的皮瓣和肌皮瓣修复小腿骨折合并严重软组织缺损 75例。 结果 术后皮瓣 1例因感染坏死 ,其余全部成活 ,随访 6个月～ 4年 ,皮瓣外形及肢体功能恢复比较满意。 结论 骨折的合理固定和应用显微外科技术对小腿骨折合并严重软组织缺损的治疗 ,可以取得良好的疗效 ,大大减少了小腿截肢率和并发症的发生。
Objective To investigate the effective method of the treatment of leg fracture with severe sofe tissue defects by microsurgery. Methods Seventy-five cases of the leg fracture with severe sofe tissue defects were treated by completed debrided,used different fracture fixation and surgical flaps. Results Only partial necrosis happened in 1 case,and all the other flaps survived. The appearance and functions were achieved after 6 months to 4 years of follow-up. Conclusion Selecting different fracture fixation and microsurgical techniques flap improve successful rates,markedly reduce the deformity rates and complications of leg fracture with severe sofe tissue defects.
出处
《中华显微外科杂志》
CSCD
北大核心
2004年第3期169-171,共3页
Chinese Journal of Microsurgery
