CAJ | 학술논문

目的：探讨带血管蒂腓骨骨皮瓣移植修复创伤性骨髓炎所致骨缺损的临床应用。方法采用带血管蒂腓骨骨皮瓣移植治疗创伤性骨髓炎所致骨缺损患者20例。随访观察患者骨及软组织缺损愈合和功能恢复情况。结果20例患者术后随访12~24个月，创面术后2周均1期愈合，X线示移植腓骨约3~4个月愈合，患肢关节功能保留完好，骨髓炎病灶消除，无复发，移植腓骨12~18个月胫骨化。结论采用带血管蒂腓骨骨皮瓣移植是治疗创伤性骨髓炎所致软组织及骨缺损的一种有效方法。
목적：탐토대혈관체비골골피판이식수복창상성골수염소치골결손적림상응용。방법채용대혈관체비골골피판이식치료창상성골수염소치골결손환자20례。수방관찰환자골급연조직결손유합화공능회복정황。결과20례환자술후수방12~24개월，창면술후2주균1기유합，X선시이식비골약3~4개월유합，환지관절공능보류완호，골수염병조소제，무복발，이식비골12~18개월경골화。결론채용대혈관체비골골피판이식시치료창상성골수염소치연조직급골결손적일충유효방법。
Objective To investigate the clinical application of bone defect reconstruction by grafting vascularized fibular osteoseptocutaneous flap for the patients with traumatic osteomyelitis. Meth-ods In this study,20 cases of bone defects caused by traumatic osteomyelitis were reconstructed with the vascularized fibular osteoseptocutaneous flap. Results Patients were followed up for 12 to 24 months. All wounds of the 20 cases received primary healing within the first two weeks. Union at the host-graft junction was achieved at the 3rd to 4th month under the X-ray examination. All patients had normal ankle and knee joint functions after the transplantation. No clinical or radiological evidences of chronic infection and recur-rence were found. At the12th to 18th month,follow-up showed complete incorporation of the graft. Conclu-sion It is an effective way to reconstruct major bone defect caused by traumatic osteomyelitis with a vas-cularized fibular osteoseptocutaneous flap.