CAJ | 학술논문

目的：探讨下肢胫骨及皮肤缺损同时修复的临床方法。方法将腓血管制成1个或2个血管襻，该血管襻携带皮瓣，再将多段腓骨于骨膜内复合在一起，使成为一个骨膜包裹的粗骨修复胫骨与皮肤缺损。有丰富血运的骨膜，其骨膜下新生骨活跃，该新生骨充填骨膜内与腓骨段间隙、包绕腓骨，使移植腓骨增粗。结果3例胫骨缺损均获得良好骨愈合，移植骨无折断，皮瓣成活良好。供腓骨侧踝关节稳定，伸屈范围正常，功能恢复正常。结论骨膜内双段腓骨复合小腿外侧皮瓣移植是修复胫骨与皮肤缺损的良好方法。
목적：탐토하지경골급피부결손동시수복적림상방법。방법장비혈관제성1개혹2개혈관반，해혈관반휴대피판，재장다단비골우골막내복합재일기，사성위일개골막포과적조골수복경골여피부결손。유봉부혈운적골막，기골막하신생골활약，해신생골충전골막내여비골단간극、포요비골，사이식비골증조。결과3례경골결손균획득량호골유합，이식골무절단，피판성활량호。공비골측과관절은정，신굴범위정상，공능회복정상。결론골막내쌍단비골복합소퇴외측피판이식시수복경골여피부결손적량호방법。
Objective To investigate the clinical method of simultaneous repair of tibia and skin defect of lower limbs. Methods Peroneal artery vascular loop made 1 or 2, the vascular loop carries flaps, fibular periosteum composite together, makes a thick bone repair of tibial periosteum wrapping and skin defects. Periosteum with extensive blood supply, its active subperiosteal new bone, periosteal new bone filling in the gap, wrapped around the fibula tibia and fibula, fibula graft augmentation. Results Good results were obtained for 3 cases of defect of the tibia bone healing, bone graft without breaking, flap was good. By-fibular side ankle stability, Flex scope properly, functions returned to normal. Conclusion Periosteum double fibular composite ectocnemial skin flap repair of skin defect of the tibia and good practices.