带血管的股骨内侧髁骨软骨嵌合组织瓣修复跖骨头复合组织缺损一例  

Vascularised medial femoral condylar osteochondral chimeric tissue flap for repairing a complex tissue defect in metatarsal head:A case report

作　　者：张凯 戚彩[2] 谢峻 仓宝成 陈佳 杨瑞甫 卲留影 周明武 ZHANG Kai;QI Cai;XIE Jun;CANG Baocheng;CHEN Jia;YANG Ruifu;SHAO Liuying;ZHOU Mingwu(Department of Orthopaedics,No.988 Hospital of PLA Joint Logistics Support Force,Zhengzhou 450042,China;Beijing You’an Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]中国人民解放军联勤保障部队第九八八医院全军创伤骨科中心,郑州450042 [2]首都医科大学附属北京佑安医院超声科,北京100069

出　　处：《中华显微外科杂志》2021年第2期232-234,共3页Chinese Journal of Microsurgery

基　　金：河南省医学科技攻关计划科研项目(LHGJ20190866)。

摘　　要：2019年2月,收治1例开放性第1跖骨头背侧软骨及骨缺损患者,伴软组织、肌腱及关节囊缺损,经多次创面清创治疗后二期在全身麻醉下行带血管的股骨内侧髁骨软骨嵌合组织瓣修复跖骨头复合组织缺损。术后18个月随访,负重患足无疼痛、行走无跛行,供区无不适,术后功能恢复满意。In February,2019,a patient with a defect of open dorsal cartilage and bone in the first metatarsal head,including the defects of soft tissue,tendon and joint capsule,was treated in our department.After multiple debridement,the vascularised medial femoral condyle osteochondral chimeric tissue flap was transferred to repair the composite tissue defect in the metatarsal head at the second stage.After 18 months of follow-up,the patient felt no pain in the foot and walking,and there was no sign of lameness and discomfort at donor sites.The postoperative functional recovery was satisfactory.

关 键 词：跖趾关节 骨软骨嵌合组织瓣 修复 重建 显微外科技术 

分 类 号：R658.3[医药卫生—外科学]