VSD结合吻合血管蒂腓骨骨皮瓣移植治疗胫骨骨髓炎伴骨缺损的疗效观察  

Clinical effect of grafting vascularized fibular osteoseptocutaneous flap with VSD for tibial osteomyelitis bone defect reconstruction

作　　者：任俊涛[1] 张云飞[1] 金德富[1] 申运山[1] 李鹏[1] 

机构地区：[1]湖北中医药大学附属医院(襄阳市中医医院)骨科,湖北441000

出　　处：《中国骨与关节损伤杂志》2017年第8期808-811,共4页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨负压封闭引流技术(VSD)结合吻合血管蒂腓骨骨皮瓣移植治疗胫骨骨髓炎伴骨缺损的临床疗效。方法回顾分析自2012-09—2014-09采用VSD结合吻合血管蒂腓骨骨皮瓣移植治疗12例胫骨骨髓炎伴骨缺损的临床资料。随访观察患者骨及软组织缺损愈合和功能恢复情况。结果 12例术后随访12~24个月,平均17个月。创面术后14 d均一期愈合,X线片示移植腓骨4~5个月愈合,12~18个月腓骨"胫骨化",患肢关节功能活动可,骨髓炎病灶消除,无复发。结论采用VSD结合吻合血管蒂腓骨骨皮瓣移植治疗胫骨骨髓炎伴骨缺损是一种有效的治疗方法。Objective To investigate the clinical effect of grafting vascularized fibular osteoseptocutaneous flap with vacuum sealing drainage（VSD） for bone defect reconstruction in the patients with tibial osteomyelitis. Methods A retrospective analysis of 12 cases of tibial osteomyelitis bone defect was reported from September 2012 to September 2014. The patients underwent grafting vascularized fibular osteoseptocutaneous flap with VSD. The bone and soft tissue defect healing and functional recovery were evaluated. Results Patients were followed up for 12 to 24 months. All wounds of the 12 cases received primary healing within the first 14 days. Union at the host-graft junction was achieved at the 4th to 5th month under the X-ray examination. At the 12 th to 18 th month,follow-up showed complete incorporation of the graft. All patients had normal joint functions after the transplantation. No clinical or radiological evidences of chronic infection and recurrence were found. Conclusion It is an effective way to reconstruct bone defect by grafting vascularized fibular osteoseptocutaneous flap with VSD for the patients with tibial osteomyelitis.

关 键 词：负压封闭引流 腓骨骨皮瓣 胫骨骨髓炎 骨缺损 

分 类 号：R687.3[医药卫生—骨科学]