摘要
目的探讨[足母]趾腓侧皮瓣修复拇指骨髓炎病灶清除后软组织缺损的适应证与治疗效果。方法自2013年5月至2015年5月，我们共收治11例拇指骨髓炎伴皮肤软组织缺损患者，彻底清除病灶后植骨，软组织缺损采用[足母]趾腓侧皮瓣移植一期修复。术后对骨髓炎治愈情况、功能恢复以及皮瓣感觉、颜色、质地等进行疗效评估。结果所有患者术后均获得随访，时间为4～12个月，平均8个月。所有患者拇指骨髓炎均治愈，无复发情况。患肢拇指功能活动恢复正常，皮瓣存活良好，感觉、形态、质地均较为满意。结论彻底清除病灶后应用载抗生素人工骨填充植骨，应用[足母]趾腓侧皮瓣移植一期修复软组织缺损，该拇指骨髓炎治疗方法疗程较短、效果较好。
Objective To investigate the indications and efficacy of one-stage surgical treatment for phalanx osteomyelitis of the thumb by debridement and soft tissue defect coverage with fibular flap from the big toe. Methods From May 2013 to May 2015, 11 cases of phalanx osteomyelitis of the thumb with soft tissue defect were treated. After thorough debridement, the bone defect was filled with a non-vascularized bone graft while a flap from the fibular side of the big toe was transferred to cover the soft tissue defect all in the same stage. Postoperative evaluations included cure of osteomyelitis, motor function of the thumb, and the sensation, color and texture of the flap. Results All the patients were follow-up for 4 to 12 months, with an average of 8 months. The osteomyelitis was effectively cured, with no recurrence. Range of motion of the thumb returned to normal. The flaps survived completely, with satisfactory sensation, appearance and texture. Conclusion Onestage thorough debridement, artificial bone grafting with sensitive antibiotics and transfer of fibular flap from the big toe can shorten the treatment time for phalanx osteomyelitis of the thumb with soft tissue defects. The cost is lower while the outcomes are good.
出处
《中华手外科杂志》
CSCD
北大核心
2016年第4期277-279,共3页
Chinese Journal of Hand Surgery
关键词
骨髓炎
指损伤
外科皮瓣
软组织缺损
Osteomyelitis
Finger injuries
Surgical flaps
Soft tissue defect
