腓肠肌内侧头肌瓣联合植皮修复髌前软组织缺损  

Medial head gastrocnemius muscle flap combined with skin graft to cover soft tissue defect in anterior surface of the patellar

作　　者：张功林[1] 李福民 陈克明[1] 赵来绪 杨军林 

机构地区：[1]兰州军区总医院骨科研究所,730050 [2]甘肃民乐县中医院骨科,734500 [3]甘肃武山县人民医院骨科,741300

出　　处：《国际骨科学杂志》2011年第4期263-264,269,共3页International Journal of Orthopaedics

摘　　要：目的探讨腓肠肌内侧头肌瓣联合游离植皮修复髌前软组织缺损的临床应用效果。方法应用腓肠肌内侧头肌瓣修复8例外伤性髌前软组织缺损伴骨外露患者,肌瓣表面行一期中厚网状游离植皮,供区直接缝合。结果肌瓣移植术后过程顺利,肌瓣和其上游离植皮全部成活,取得了较满意效果。2例术后发生小的创缘表浅感染,经敷料交换治疗逐渐愈合。随访10个月至2.8年(平均1.5年),未发现明显的供区功能障碍。结论腓肠肌内侧头肌瓣以腓肠内侧动脉为血供,具有血供丰富、血管解剖恒定、血管蒂长及肌瓣较薄等优点,带蒂移植适宜修复髌前软组织缺损。Objective To investigate the clinical effect of the medial head gastrocnemius muscle flap transfer combined with free skin graft to cover soft tissue defect in anterior surface of the patellar.Methods Eight trauma patients of soft tissue defect in anterior surface of the patellar underwent reconstruction by using the medial head gastrocnemius muscle flap transfer combined with free skin graft.The immediate coverage of the muscle flaps were performed by a meshed split-thickness free skin graft.The donor site was closed directly.Results All the muscle flaps and free skin graft had survived completely without major complication and satisfactory results were obtained.Two cases sustained superficial postoperative infection and the gradual wound healed by daily wound dressings.The follow-up period ranged from 10 months to 2.8 years（mean,1.5 y）,there was no remarkable donor site morbidity.Conclusions This muscle flap is nourished by the medial sural artery and seem to have a highly vascularization network,a constant vascular anatomy and a long vascular pedicle.The muscle flap is thin and suitable for repairing soft tissue defect in anterior surface of the patellar.

关 键 词：肌瓣 带蒂移植 软组织缺损 

分 类 号：R687.2[医药卫生—骨科学]