封闭负压引流技术结合组织瓣移植治疗胫腓骨严重开放性骨折  

The Treatment of Open Fracture of Tibia and Fibula with the Technique of Vacuum Sealing Drainage and Tissue Flaps

作　　者：姚俊娜[1] 杜志军[1] 赵祚塨[1] 

机构地区：[1]洛阳正骨医院,河南省洛阳市471002

出　　处：《组织工程与重建外科杂志》2013年第3期155-157,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨封闭负压引流技术结合组织瓣移植,治疗胫腓骨严重开放性骨折的临床疗效。方法自2009年8月至2012年8月,对21例严重胫腓骨开放性骨折,行一期清创,骨折采用外固定架固定,应用封闭负压引流技术结合组织瓣移植治疗。结果术后随访10~36个月,所有患者骨折愈合良好,均无骨髓炎发生,功能恢复满意。结论封闭负压引流技术能改善创面软组织条件,结合组织瓣移植修复,是治疗胫腓骨严重开放性损伤的有效方法。Objective To explore the clinical efficacy for the treatment of open fracture of tibia and fibula with the technique of vacuum sealing drainage and tissue flaps.Methods From August 2009 to August 2012,21 cases with severe open fracture of tibia and fibula were treated by debridement and external fixation,then were treated with the technique of vacuum sealing drainage and tissue flap transplantation.Results Patients were followed up for 10-36 months and no osteomyelitis was observed.The fracture healed well and functional recovery was satisfied.Conclusion The technique of vacuum sealing drainage can improve the conditions of the soft tissue,and combining with tissue flap transplantation is an effective method for the treatment of severe open fracture of tibia and fibula.

关 键 词：封闭负压引流技术 组织瓣 胫腓骨开放性骨折 

分 类 号：R683.42[医药卫生—骨科学]