带髂胫束的逆行股前外侧皮瓣修复髌前复合组织缺损并重建髌韧带  

The retrograde femoral anterolateral skin flap composited with iliotibial band to repair patellar composite tissue defect and rebuild the patellar ligament

作　　者：孙中建 徐鹏 孙萌萌 王晶 

机构地区：[1]枣庄矿业集团中心医院骨科,山东枣庄277800

出　　处：《实用手外科杂志》2014年第4期416-417,共2页Journal of Practical Hand Surgery

摘　　要：目的：探讨带髂胫束的逆行股前外侧皮瓣修复髌前复合组织缺损并重建髌韧带的效果。方法对2007年3月—2011年8月收治的髌前软组织并髌骨缺损的16例患者，采用带髂胫束的逆行股前外侧皮瓣移植修复并重建髌韧带，皮瓣切取范围7.5 cm＆#215;10.5 cm～8.5 cm＆#215;13.5 cm，髂胫束切取长度7.0～13.0 cm，宽度5.0～7.0 cm，随访时间6个月～3年。结果16例患者皮瓣均成活，优9例，良5例，可2例。结论带髂胫束的逆行股前外侧皮瓣修复髌前复合组织缺损并重建髌韧带的方法是修复髌前软组织并髌骨缺损的一种有效术式。Objective To discuss the effect of retrograde anterolateral thigh flap with iliotibial band to repaire prepatellar compound tissue defects and reconstruct patellofemaral ligament. Methods From March 2007 to August 2011, 16 patients of prepatellar compound tissue defects were covered in this study. All the patients were repaired and patellofemaral ligament were reconstructed by retrograde anterolateral thigh flap with iliotibial band. The flaps ranged from 7.5 cm＆#215;10.5 cm to 8.5 cm＆#215;13.5 cm, the length of iliotibial band was from 7 cm to 13 cm and the width was from 5 cm to 7 cm. All patients were followed-up from 0.5 year to 3 years. Results All the flaps survived, 9 cases completely survived, 5 cases mostly survived, 2 cases partly survived. Conclusion Retrograde anterolateral thigh flap with iliotibial band is an effective operation to repair prepatellar compound tissue defects and reconstruct patellofemaral ligament.

关 键 词：软组织并髌骨缺损 股前外侧皮瓣 髂胫束 

分 类 号：R622[医药卫生—整形外科]