摘要
目的介绍儿童创伤性内踝缺损的重建方法。方法采用分期重建方法,第一期采用软组织扩张术修复内踝软组织缺损,第二期采用自体髂嵴骨骺游离移植重建胫骨远端内侧骺板缺损。结果随访2年,患儿踝关节外形正常,稳定性良好。结论采用软组织扩张术和自体髂嵴骨骺游离移植方法修复儿童内踝缺损,可使踝关节保持良好的稳定性能。
Objective To describe the reconstruction of a trauma defect of the medial malleolus in ebildren. Methods Skin expander was first used for the reconstruction of a defect of soft tissue. then an autologous graft from the iliac crest with the epiphyseal cartilage was used for reconstruction of defect of the tibial distal medial epiphyseal plate. Results Two years after operation, the patient got good outcome in appearance and stability of the ankle. Conclusion The operative procedures of skin expander and an autologous graft from the iliae crest with the epiphyseal cartilage which reconstructed a trauma defect of the medial malleolus in children may get the stable ankle.
出处
《临床小儿外科杂志》
CAS
2006年第3期175-176,186,F0003,共4页
Journal of Clinical Pediatric Surgery
关键词
踝损伤/外科学
骨移植
移植
自体
Medial rnalleolus
Skin expander
lliac crest
children
