| 腓肠肌内侧头岛状肌瓣修复胫骨上端感染创面 |
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投稿时间：2007-07-31
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| 作者 | Author | 单位 | Address | E-Mail |
| 张功林 |
ZHANG Gong-lin |
温岭市骨伤科医院，浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 3175000,Zhejiang,China |
668zgl@163.com |
| 章鸣 |
ZHANG Ming |
温岭市骨伤科医院，浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 3175000,Zhejiang,China |
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| 郭翱 |
GUO Ao |
温岭市骨伤科医院，浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 3175000,Zhejiang,China |
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| 丁法明 |
DING Fa-ming |
温岭市骨伤科医院，浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 3175000,Zhejiang,China |
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| 王干生 |
WANG Gan-sheng |
大丰市同仁骨科医院 |
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| 荆浩 |
JING Hao |
无锡市第三人民医院 |
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| 凌爱军 |
LING Ai-jun |
大丰市同仁骨科医院 |
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| 彭俊洋 |
PENG Jun-yang |
大丰市同仁骨科医院 |
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| 期刊信息：《中国骨伤》2008年，第21卷，第2期，第83-85页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：总结腓肠肌内侧头岛状肌瓣修复胫骨上端感染创面的临床应用结果。
方法：胫骨上端感染创面9例，男7例，女2例；年龄21～60岁，平均34岁。应用改进的腓肠肌内侧头岛状肌瓣修复，供区均选用同侧小腿。肌瓣表面行Ⅰ期中厚网状游离植皮，供区直接缝合。
结果：仅1例术后发生表浅感染，经换敷料逐渐愈合。所有患者肌瓣和其上植皮全部成活。术后随访13个月～4年，平均21个月，供区愈合良好，未发现明显功能障碍。
结论：腓肠肌内侧头岛状肌瓣以腓肠内侧动脉为血供，具有血供丰富，血管解剖恒定，血管蒂长，以及肌瓣较薄的优点，带蒂移植适宜修复胫骨上端软组织缺损。 |
| 【关键词】肌瓣 外科皮瓣 感染 胫骨 修复外科手术 |
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| The sural medial gastrocnemius island muscle flap to cover wound of infection on upper region of the tibial |
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ABSTRACT
Objective: To summarize clinical application of the sural medial gastrocnemius island muscle flap to cover wound of infection on upper region of the tibial.
Methods: Nine patients(7 men,2 women)with soft tissue defects on the upper region of the tibial underwent reconstruction with the sural medial gastrocnemius island muscle flap. The age ranged from 21 to 60 years old(mean,34 years). The immediate coverage of the muscle flaps were performed by a meshed split-thickness skin graft. The donor site was closed directly. The donor leg was ipsilateral in all cases.
Results: Only one case sustained superficial infection postoperative and the gradual wound healed by daily wound dressings. All the muscle flaps and skin graft had survived completely without major complication with satisfactory clinical results. All patients were followed-up for 13 months to 4 years(mean 21 months),the donor site was healing,there was no remarkable donor site morbidity.
Conclusion: The sural medial gastrocnemius island muscle flap is nourished by the medial sural artery. The muscle flaps seem to have highly vascularize,a constant vascular anatomy and a long vascular pedicle. The muscle flap is thin and suitable for repairing soft tissue defect on the upper region of the tibial. |
| KEY WORDS Muscle flap Surgical flaps Infection Tibia Reconstructive surgical procedures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张功林,章鸣,郭翱,丁法明,王干生,荆浩,凌爱军,彭俊洋.腓肠肌内侧头岛状肌瓣修复胫骨上端感染创面[J].中国骨伤,2008,21(2):83~85 |
| 英文格式: | ZHANG Gong-lin,ZHANG Ming,GUO Ao,DING Fa-ming,WANG Gan-sheng,JING Hao,LING Ai-jun,PENG Jun-yang.The sural medial gastrocnemius island muscle flap to cover wound of infection on upper region of the tibial[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(2):83~85 |
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