筋膜皮瓣修复小腿开放性骨折并软组织缺损  

REPAIR OF OPEN FRACTURES OF BOTH TIBIA AND FIBULA COMPLI CATED BY SOFT TISSUE DAMAGE WITH FASCIOCUTANEOUS FLAPS

作　　者：董家胜 吕芳鸣 万紫书 李锦明 胡卫安 李家广 吴术仁 黄树开 

机构地区：[1]武汉市第12医院外科,430074 [2]中国建筑第三工程局武汉中心医院,430070

出　　处：《中国修复重建外科杂志》1993年第3期149-150,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：1988年～1991年,用筋膜皮瓣修复胫脖骨开放性骨折并软组织缺损27例。一期闭合创面11例,延期创面修复16例,均获得较好的效果。筋膜皮瓣血运丰富,愈合力强,可以不受创面位置的限制,不牺牲知名血管,手术简单。对伤口周围软组织挫伤程度的正确估计,是选择一期或延期皮瓣转移的先决条件。Between 1988 and 1991,27 cases of open fractures of shank bones complicated by soft tissue defect were repaired with fasciocutaneous flaps. The wound surfaces in 11 cases were closed in the first stage and in 16 cases the repair was delayed. The wounds of all the 27 cases had good healing, In fasciocutaneous flaps the blood supply was sufficient and this contributed to subsequent healing. The operation was simple, regardless of the postion of the wound and not damaging the blood vessels. An accurate estimation of the degree of contusion of the soft tissues surrounding the wound was prerequisite to select immediate transposition of fasciocutaneous flaps or delayed transposition.

关 键 词：胫腓骨 骨折 软组织缺损 筋膜皮瓣 

分 类 号：R683.420.5[医药卫生—骨科学]