串联血管的超长双腓骨组合移植治疗瘤段切除后长段骨缺损  

COMPOSITE TRANSPLANTATION OF DOUBLE VASCULARIZED LONG SEGMENTS OF TIBULA IN THE REPAIR OF A HUGE BONY DEFECT RESULTED FROM EXCISION OF BONE TUMOR

作　　者：周建国[1] 周勇 张敬良[1] 范启申[1] 孙书海[1] 

机构地区：[1]解放军第89医院 [2]山东省潍坊市坊子人民医院

出　　处：《解放军医学杂志》2002年第4期319-320,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：对 4例四肢长骨骨纤维异常增殖症伴有病理性骨折的患者进行彻底病灶切除后 ,采用带血管蒂的双腓骨串联、双腓骨合并移植治疗肿瘤切除造成的长段骨缺损 ,以加速骨愈合 ,早期恢复肢体功能。随访 1～ 2年 ,移植的双腓骨在 6个月内达到骨性连接 ,双侧肢体等长 ,对负重无明显影响 ,功能接近正常。In order to reconstruct a bone defect as a result of a complete excision of osteofibromatosis with pathological fracture of an extremity, free transplantation of double vascularized long fibula segments was performed in 4 cases of osteofibroas hyperplasia with fracture. After a follow up of 1～2years, the grafted fibula attained a good bony union, and the limbs regained normal length and function. This seems to be an ideal way to repair huge bone defects as a result of excision of bone tumor of extremities.

关 键 词：串联血管 超长双腓骨组合移植 治疗 瘤段切除 长段骨缺损 骨肿瘤 

分 类 号：R687.34[医药卫生—骨科学] R738.1[医药卫生—外科学]