骨科
骨科
골과
Orthopaedics
2015年
5期
231-233
,共3页
丁伟%徐雷%杨超群%蒋军健%陆九州%徐建光
丁偉%徐雷%楊超群%蔣軍健%陸九州%徐建光
정위%서뢰%양초군%장군건%륙구주%서건광
外科皮瓣%膝损伤%软组织损伤%显微外科手术
外科皮瓣%膝損傷%軟組織損傷%顯微外科手術
외과피판%슬손상%연조직손상%현미외과수술
Surgical flap%Knee injuries%Soft tissue injuries%Microsurgery
目的 探讨采用逆行股前外侧岛状皮瓣修复膝关节周围严重创伤性软组织缺损的疗效.方法 回顾性分析2008年至2012年,我院采用逆行股前外侧岛状穿支皮瓣修复膝关节周围严重创伤性皮肤软组织缺损8例,术后观察皮瓣存活情况和恢复情况. 结果 除1例皮瓣边缘小部分坏死,通过换药愈合外,其余皮瓣全部存活,皮瓣质地弹性好,外形满意. 术后无明显感染及并发症. 结论 采用逆行股前外侧岛状穿支皮瓣修复膝关节周围严重创伤性软组织缺损,具有血供可靠、血管蒂较长等优点,术后疗效满意.
目的 探討採用逆行股前外側島狀皮瓣脩複膝關節週圍嚴重創傷性軟組織缺損的療效.方法 迴顧性分析2008年至2012年,我院採用逆行股前外側島狀穿支皮瓣脩複膝關節週圍嚴重創傷性皮膚軟組織缺損8例,術後觀察皮瓣存活情況和恢複情況. 結果 除1例皮瓣邊緣小部分壞死,通過換藥愈閤外,其餘皮瓣全部存活,皮瓣質地彈性好,外形滿意. 術後無明顯感染及併髮癥. 結論 採用逆行股前外側島狀穿支皮瓣脩複膝關節週圍嚴重創傷性軟組織缺損,具有血供可靠、血管蒂較長等優點,術後療效滿意.
목적 탐토채용역행고전외측도상피판수복슬관절주위엄중창상성연조직결손적료효.방법 회고성분석2008년지2012년,아원채용역행고전외측도상천지피판수복슬관절주위엄중창상성피부연조직결손8례,술후관찰피판존활정황화회복정황. 결과 제1례피판변연소부분배사,통과환약유합외,기여피판전부존활,피판질지탄성호,외형만의. 술후무명현감염급병발증. 결론 채용역행고전외측도상천지피판수복슬관절주위엄중창상성연조직결손,구유혈공가고、혈관체교장등우점,술후료효만의.
Objective To investigate the curative effect of reverse-flow anterolateral thigh island flap for reconstruction of soft tissue defects around the knee joint. Methods A retrospective analysis of 8 patients with severe traumatic soft tissue defect around the knee joint treated with the reverse-flow anterolateral thigh is-land flap in our hospital during 2008 to 2012 was performed. The survival and recovery of skin flaps were ob-served after operation. Results All flaps survived except one case of marginal necrosis. The skin flaps were good, and the shape was satisfied. There was no obvious infection and other complications. Conclusion The reverse-flow anterolateral thigh island flap with reliable blood supply and long vascular pedicle can be designed to repair soft tissue defects around knee joint, especially in the difficult cases.
