左肱骨Gustilo III C型开放性骨折术后创面感染及肢体缺血显微外科治疗一例  

Limb salvage for Gustilo III C open fracture of left humerus with limb ischemia and wound infection by microsurgery:A case report

作　　者：杨建涛[1] 郑灿镔[1] 秦本刚[1] 王洪刚[1] 李平[1] 顾立强[1] 戚剑[1] 朱庆棠[1] YANG Jiantao;ZHENG Canbin;QIN Ben’gang;WANG Honggang;LI Ping;GU Liqiang;QI Jian;ZHU Qingtang(Department of Microsurgery,Trauma and Hand Surgery,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院显微创伤手外科,广东广州510080

出　　处：《中华显微外科杂志》2021年第2期223-225,共3页Chinese Journal of Microsurgery

摘　　要：本文报道2014年6月收治的1例左肱骨中上段开放性骨折合并肱动脉损伤(Gustilo III C型骨折)术后创面感染及肢体缺血患者,手术一期行健侧血管转位患肢原位寄养,二期行血流桥接(Flow-through)皮瓣移植修复创面,三期行转位血管断蒂。术后1年随访患肢保肢成功,但合并轻度功能活动受限,CTA显示重建的肱动脉血流通畅。Report a case sustained Gustilo type III C open fracture of the left humerus with brachial artery injury who has limb ischemia and wound infection after operation in June,2014.To salvage the limb,performed cross limb vessel transfer to restore blood supply at one-stage.After multiple debridement,Flow-through flap transfer was performed for definitive reconstruction of the arterial injury and repair the wound in secondary stage.In the 3rd stage,cutting the pedicle of transposition vessels.Follow-up at 1 year after surgery,the patient's left upper limb had survived with limited movement and confirmed Flow-through the vessel reconstruction using CTA.

关 键 词：肱骨 Gustilo III C型 开放性骨折 肢体缺血 血流桥接皮瓣 

分 类 号：R687.3[医药卫生—骨科学]