CAJ | 학술논문

目的报道游离组织瓣移植联合应用外固定器固定骨、关节用于修复交通伤四肢组织缺损伤的临床应用及护理.方法对36例包括骨皮瓣、肌皮瓣、皮瓣移植,同时采用A-O管状外固定器、单侧多功能外固定器及单侧踝关节外固定器行骨关节外固定修复的患者进行观察护理.结果 36例交通伤患者肢体骨关节缺损愈合良好,移植皮瓣全部成活,术后上肢10～16周、下肢6～8个月拆除外固定器,肢体功能恢复满意,无畸形及骨不连接.结论应用组织瓣移植同时以外固定器固定骨关节对交通伤肢体组织的复合性缺损进行修复和重建,具有骨关节固定简单可靠,肢体及移植组织损伤小等优点.而临床过程中的血运观察及护理,并结合早期的功能训练亦必必可少.
목적 보도유리조직판이식연합응용외고정기고정골、관절용우수복교통상사지조직결손상적림상응용급호리.방법 대36례포괄골피판、기피판、피판이식,동시채용A-O관상외고정기、단측다공능외고정기급단측과관절외고정기행골관절외고정수복적환자진행관찰호리.결과 36례교통상환자지체골관절결손유합량호,이식피판전부성활,술후상지10～16주、하지6～8개월탁제외고정기,지체공능회복만의,무기형급골불련접.결론 응용조직판이식동시이외고정기고정골관절대교통상지체조직적복합성결손진행수복화중건,구유골관절고정간단가고,지체급이식조직손상소등우점.이림상과정중적혈운관찰급호리,병결합조기적공능훈련역필필가소.
Objective To report the clinical result of repairing complex tissue defect in limb caused by traffic accident using both tissue flap transplantation and external fixer. Methods The vascular tissue flap including bone flap and muscular flap to repair the complex tissue defection ( soft tissue, bones, joints) in forearm, hand, leg, ankle and foot were applied in 36 cases. At the same time in surgery, injured bones and joints were fixed by external fixator for stabilizing and accelerating cure. Results All 36 cases were applied successfully with transplanted tissue combined with external fixator. The external fixator were moved away about 10～16 weeks post - operation in upper extremity or 6～8 months post - operation in lower extremity and all the cases recovered satisfactorily. Conclusions It is a reliable method for repairing the complex tissue defection in the limb caused by traffic accident by external fixator with traumatology and microsurgery technique. And it is also characterized as a minor injury method on transplanted bones, enables early exercise for joints, convenient observation of flap circulation and easy nursing.