CAJ | 학술논문

目的探讨带血管的腓骨及皮瓣移植修复四肢骨及软组织缺损的疗效.方法用腓骨转位修复胫骨缺损4例；游离腓骨移植中折叠移植3例,其中修复股骨下端缺损2例、跟骨缺损1例;单根移植修复胫骨、桡骨、跖骨缺损11例；半面腓骨移植修复掌骨缺损2例.同时均带皮瓣修复骨及软组织缺损.结果 20例全部成活,骨愈合时间为6～ 10周,3～6个月后负重,15例随访6个月～4年,移植骨增粗,下肢正常行走,移植皮瓣弹性好,上肢及手部恢复抓握旋转功能.结论多方式带血管的腓骨及皮瓣移植是治疗四肢及手术骨和软组织缺损的有效方法.
목적 탐토대혈관적비골급피판이식수복사지골급연조직결손적료효.방법 용비골전위수복경골결손4례；유리비골이식중절첩이식3례,기중수복고골하단결손2례、근골결손1례;단근이식수복경골、뇨골、척골결손11례；반면비골이식수복장골결손2례.동시균대피판수복골급연조직결손.결과 20례전부성활,골유합시간위6～ 10주,3～6개월후부중,15례수방6개월～4년,이식골증조,하지정상행주,이식피판탄성호,상지급수부회복조악선전공능.결론 다방식대혈관적비골급피판이식시치료사지급수술골화연조직결손적유효방법.
Objective To investigate the effect of vascularized fibula with fibular flap to repair limb bones and soft tissue defects.Methods Transpositional fibulas were used to repair tibiae defects in 4 cases.Free fibular transplantation was used in 6 cases,including folded fibular transplantation in 3 cases distal femur repair in 2 cases,calcaneus repair in I case.Hole fibular transplantation was used in 11 cases to repair tibia radius and metatarsal bones.Semi-fibular transplantation was used to repair metacarpal bone defects in 2 cases.All transplanted bones were together with the flap to repair bones and soft tissue defects.Results Twenty cases were all survived,with bone healing time of 6 to 10 weeks,and weight bearing time of 3 to 6 months,fifteen cases were followed up for 6 months to 4 years,and the results showed that their transplanted bones became thicker,their lower limbs recovered to normal walking,hand grip function recovered,the transplanted flaps were elastic.Conclusion Vascularized fibula and fibular flaps transplantation was an effective way to repair limb bones and soft tissue defects.