游离腓骨复合移植重建上肢关节功能及骨缺损  

RECONSTRUCTION OF JOINT IN UPPER LIMB WITH THE COMPOSITE FIBULAR TRANSFER

作　　者：刘兴炎[1] 葛宝丰[1] 文益民[1] 甄平[1] 石骥[1] 刘占宏[1] 傅晨[1] 高秋明[1] 

机构地区：[1]兰州军区总医院全军骨科中心

出　　处：《中华显微外科杂志》1997年第2期97-99,共3页Chinese Journal of Microsurgery

摘　　要：目的：吻合血管的腓骨复合移植适用于一期修复上肢长骨骨缺损及重建关节功能。方法：自１９８５年以来，采用折叠腓骨段及复合组织瓣修复尺桡骨同时骨缺损４例；小儿肱骨近端肿瘤瘤段切除后采用吻合血管带腓骨小头的腓骨移植重建肩关节功能９例；桡骨远端肿瘤瘤段切除后取吻合血管带腓骨小头的腓骨移植重建桡腕关节６例。结果：经术后２～１０年随访，重建的肩关节、桡腕关节功能恢复令人满意，尺桡骨骨缺损一期修复，骨愈合良好。结论：复合的游离腓骨移植是扩大应用于关节功能重建的有效方法。Objective:The vascularized fibular was adopted to repair the defect of forearm bone or joint function at one stage.Method:Since 1985,4 cases of forearm bone and soft tissue defect repaired with vascularized folded fibular osteoseptocutaneous flap. The shoulder function in 9 cases and radius carparl joint function in 6 cases were reconstructed with free fibular head transferring.Results:After a follow up of 2～10 years, the function of reconstructed shoulder and radius carparl joints was satisfactory and the bone defects of radius and ulna were repaired successfully. Conclusion:The author belive the composite fibular transferring is an effective procedure for reconstruction of joint function and repairing of the defect of forearm bones.

关 键 词：尺骨 桡骨 骨缺损 上肢 关节功能重建 骨移植 

分 类 号：R658.2[医药卫生—外科学] R687.42[医药卫生—临床医学]