带血管蒂腓骨移植修复下肢长段骨缺损的长期随访观察  

Long Term Follow-up of Fibular Graft with Vessel Pedicle in Repairing Long Segmental Bone Deficits of Lower Limbs

作　　者：白绍元[1] 喻爱喜[1] 

机构地区：[1]武汉大学附属中南医院显微骨科,武汉市430071

出　　处：《解剖与临床》2010年第3期192-194,共3页Anatomy and Clinics

摘　　要：目的：探讨腓骨移植修复下肢长段骨缺损的疗效。方法：采用带血管蒂腓骨移植修复下肢长段骨缺损18例，其中双腓骨4例，单腓骨14例、外固定架固定12例，接骨板固定6例。结果：所有患者术后随访2～8a，平均4．4a。移植骨2～6个月（平均3．4个月）愈合。移植骨均有不同程度增粗表现，其中12例使用外固定架固定的患者移植骨增粗更为明显。结论：采用带血管蒂腓骨移植修复下肢长段骨缺损，远期随访效果满意。采用多平面外固定架固定，掌握好负重行走的时机和负荷量可促使移植骨愈合并增粗，逐渐达到受区骨直径。Objective：To discuss the curative effects of fibular graft with vessel pedicle in repairing long segmental bone deficits of lower limbs. Methods：Fibular grafts with vessel pedicle were used in repairing long segmental bone deficit of lower limb for 18 cases, double-barreled fibular graft 4 cases and single fibular graft 14 cases. Twelve cases were fixed by external fixation devices, 6 cases were fixed by plates. Results：All the cases were followed up for 4.4 a averagely （ range 2 - 8 a）. The average time for host-autograft union was 3.4 months （range 2 -6 months）. All the grafted bone had different level of hypertrophy, especially for the 12 cases fixed by external fixation devices. Conclusions：It was satisfactory to use fibular grafting with vessel pedicle to repair long segmental bone deficits of lower limbs basing on the long term follow-up. Adopting muhiplane external fixation devices and controlling well weight bearing would enhance union and hypertrophy of grafted bone, and its diameter would match the recipient site with time.

关 键 词：带血管蒂腓骨移植 长段骨缺损 长期随访 增粗 外固定 

分 类 号：R687.3[医药卫生—骨科学]