摘要
目的:总结膝上外侧动脉骨皮瓣游离移植修复肢体复合组织缺损的临床治疗经验,指导临床诊治。方法:回顾性分析我院2007年1月-2010年1月采用膝上外侧动脉骨皮瓣游离移植修复的62例肢体复合组织缺损患者的临床资料:以大腿外侧正中线为轴心,股骨外上髁上约4cm处为中心,在髌骨外侧缘向近端延长线、股二头肌后缘、髌骨上缘区域内,根据受区需要设计和切取膝上外侧动脉为蒂的骨皮瓣。选择与受区动脉顺行或逆行端侧或端端吻合。结果:62例游离移植骨皮瓣成活60例,2例因创面再发感染失败,3-4个月骨瓣与受区骨骼愈合,骨瓣面积7.8cm×5cm-3.2cm×1.4cm;皮瓣面积13.5cm×6.5cm-3.5cm×3.0cm。修复后伤肢外观满意。结论:采用膝上外侧动脉骨皮瓣游离移植修复肢体复合组织缺损疗效理想,值得临床推广。
Objective：To observe the result of free osteocutaneous-flap vascularized on the lateral superior genicular artery transplantation to reconstruct the bone and soft tissue defect of the limb.Methods：To design the cutaneous flap around the key point which was the cutaneous branch of the lateral superior genicular artery perforating the subcutaneous located at the middle line on the lateral surface of distal thigh and 4 cm proximal to the lateral superior condylar of femur.15 cases with bone and soft tissue defect on the forearm,hand and lower limb were repaired by transplantation of this osteocutaneousflap with one stage,the area of the cutaneous flap was between 13.5cm×6.5cm-3.5cm×3.0cm and the area of bone flap was 7.8cm×5cm-3.2cm×1.4 cm.Results：60 cases of the osteocutaneous flap were survived and bone flap was union with the recipient bone 3-4 months after the operation,the surface of the repaired limb was satisfactory.Conclusions：The transplantation of free osteocutaneousflap pedicle with the lateral superior genicular artery is one of the best method to reconstruct the bone and soft tissue defect on the limb,It is worth popularizing.
出处
《医学信息（中旬刊）》
2010年第9期2388-2389,共2页
Medical Information Operations Sciences Fascicule
关键词
股骨
骨皮瓣
膝上外侧动
Femur
Osteocutaneousflap
Lateral superior genicular artery
