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find Author "杨运发" 3 results
  • REPAIR OF MASSIVE BONE DEFECTS IN LIMBS BY USING VASCULARIZED FREE FIBULAR AUTOGRAFT COMPOUNDING MASSIVE BONE ALLOGRAFTS

    Objective To investigate the clinical effects of repairing massive bone defects in limbs by using vascularized free fibular autograft compoundingmassive bone allografts. Methods From January 2001 to December 2003, large bone defects in 19 patients (11 men and 8 women, aging from 6 to 35 years) were repaired by vascularized free fibular transplant with a monitoringflap compounding massive deep frozen bone allografts. The length of bone defects were 12 to 25 cm (16.6 cm on average), of vascularized free fibular 15 to 28 cm (18.3 cm on average), and of massive bone allografts 11 to 24 cm (16.1 cm on average). Thelocation of massive bone defects were humerus in 1 case, femur in 9 cases and tibia in 9 cases. Results After followup of 5 to 36 onths (18.2 months on average), wounds of donor and recipient sites were healed at Ⅰstage, monitoringflaps were alive, no obvious eject reaction of massive bone allografts was observed and no complications occurred in donor limbs. The radiographic evidence showed union in 15 patients 3 months and 3 patients 8 months after operation. One case of malignant synovioma of left lower femur recurred and amputation was performed 2.5 months after surgery. Internal fixation was removed in 5 patients, and complete bone unions werefound 1 year postoperatively. No massive bone allografts was absorbed or collapsed. Conclusion With strict indication, vascularized free fibular autograft compounding massive bone allografts, as an excellent method of repairing massive bone defects in limbs, can not only accelerate bone union but also activate and changer the final results of massive bone allografts from failure.

    Release date:2016-09-01 09:28 Export PDF Favorites Scan
  • 腓骨皮瓣修复胫骨开放性粉碎性骨折及皮肤缺损

    目的 应用吻合血管腓骨皮瓣重建胫骨粉碎性骨折段骨的连续性及修复胫前皮肤软组织缺损的疗效分析。方法 2002年2月~2004年12月,收治22例胫骨粉碎性骨折。Gustilo ⅢB型8例,ⅢC型14例。合并血管损伤14例,神经损伤5例。缺损范围12 cm×6 cm~20 cm×6 cm。于伤后1~22 d,在彻底清创基础上,采用吻合血管腓骨皮瓣修复。随访观察骨愈合情况及患肢功能。 结果 22例获8~42个月随访,移植的腓骨皮瓣全部成活,胫骨粉碎性骨折均获骨性愈合,无截肢和慢性骨髓炎发生,下肢外形及功能恢复满意。 结论 应用吻合血管腓骨皮瓣,重建胫骨严重粉碎性骨折段骨的连续性及修复其皮肤软组织缺损,有助于加速骨折愈合、减少慢性骨髓炎的发生、缩短病程和降低致残率。

    Release date:2016-09-01 09:19 Export PDF Favorites Scan
  • 监测皮岛在多种深部移植组织瓣血供监测中的应用

    Release date:2016-09-01 09:24 Export PDF Favorites Scan
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