腓骨头复合组织瓣修复儿童内踝骨皮肤缺损四例  

Fibular head composite flap for bone and skin defect at medial malleolus in children： a report of 4 cases

作　　者：刘勇[1] 张成进[1] 付兴茂[1] 王剑利[1] 王成琪[1] 

机构地区：[1]解放军第89医院全军创伤骨科研究所,山东潍坊261021

出　　处：《中华整形外科杂志》2011年第2期95-97,共3页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨腓骨头复合组织瓣修复儿童内踝骨皮肤缺损的临床效果.方法 2005年8月至2009年4月,根据腓骨头区域的解剖学特点.设计了以膝下外侧血管束为供血的腓骨头复合组织瓣,修复儿童内踝骨皮肤缺损4例,内踝缺损均累及骨骺,皮肤缺损面积为3～6 cm × 8～10cm.结果 4例腓骨头复合组织瓣血供丰富,全部存活,朱出现血管危象.术后随访4个月至4年,4例骨端全部愈合,重建内踝形态良好,踝关节外形及功能恢复满意.结论 腓骨头复合组织瓣是修复儿童内踝骨皮肤缺损的一种较好方法.Objective To investigate the therapeutic effect of fibular head composite flap for bone and skin defect at medial malleolus in children. Methods From Aug. 2005 to Apr. 2009, 4 children cases（2 male, 2 famale, from 3 to 11 year） with bone and skin defect at medial malleolus were reconstructed with fibular head composite flaps pedicled with lateral inferior genicular vascular bundle. The skin defect was 3- 6 cm × 8-10 cm in size. Results All the 4 compostie flaps survived completely. The patients were followed up for 4 months to 4 years with good bony healing. Both esthetic and functional results were satisfactory in ankle joint. Conclusions The fibular head composite tissue flap has a good therapeutic effect for bone and skin defect at medial malleolus in children.

关 键 词：腓骨头 复合组织瓣 内踝 儿童 

分 类 号：R726.8[医药卫生—儿科]