CAJ | 학술논문

目的：探讨游离髂骨皮瓣治疗足部骨缺损的手术治疗效果方法。方法：对收治的6例合并软组织缺损、骨缺损的患者进行游离髂骨(皮)瓣移植手术治疗。结果：6例全部取得成功，术后随访时间半年～2年，临床效果满意。6例患者随访资料完整，随访时间3～12个月。优3例，良2例，可1例，优良率83%。结论应用游离髂骨皮瓣移植移植修复治疗足部骨缺损合并软组织缺损骨外露，可同时修复骨和软组织两种缺损。使病人住院时间缩短，加快骨折愈合时间，最大限度恢复和保留了邻近骨折的关节功能。并且早期恢复肢体负重行走功能。
목적：탐토유리가골피판치료족부골결손적수술치료효과방법。방법：대수치적6례합병연조직결손、골결손적환자진행유리가골(피)판이식수술치료。결과：6례전부취득성공，술후수방시간반년～2년，림상효과만의。6례환자수방자료완정，수방시간3～12개월。우3례，량2례，가1례，우량솔83%。결론응용유리가골피판이식이식수복치료족부골결손합병연조직결손골외로，가동시수복골화연조직량충결손。사병인주원시간축단，가쾌골절유합시간，최대한도회복화보류료린근골절적관절공능。병차조기회복지체부중행주공능。
Goal: Searching the surgicial effect and method of using free ilium skin graft to cure bone defect on foot. Method: Applying free ilium skin graft surgical cure to 4 adopted patients who have soft tissue defect and bone defect. Result: al the 4 patients’ cures achieve success, and the clinical effect is satisfying half to two years later after the surgeries. Tracing 6 patients with sufficient material for 3-6 months, three patients are excellent, two are good and one is acceptable, the rate of excellent and good is 83%. Conclusion: Applying free ilium skin graft to repair bone defect on foot with soft tissue defect and bone exposure can be done with one surgery, shortening the period of cure and the time of the healing of bone fracture, reducing the functional disability of joints adjacent to the fractured bone to the maximum. Patients can recover to walk soon.