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find Keyword "胫骨外露" 2 results
  • REVERSE ANTEROLATERAL THIGH FLAP FOR REPAIR OF WOUND DEFECTS WITH EXPOSED TIBIA

    【Abstract】 Objective To investigate the method and effectiveness of reverse anterolateral thigh flap and muscle flap for repair of wound defects with exposed tibia in the proximal-middle leg. Methods Between October 2005 and April 2010, 16 patients with wound defects with exposed tibia in the proximal-middle leg were treated with reverse anterolateral thigh flap and muscle flap. There were 10 males and 6 females, aged from 16 to 52 years. Injury was caused by traffic accident in 11 cases and by crushing in 5 cases. The disease duration of 1-6 hours (mean, 3 hours) in 10 patients and 6-14 days (mean, 10 days) in 6 patients, who underwent tibial fracture plate fixation in other hospitals. The size of wound ranged from 13 cm × 7 cm to 20 cm × 13 cm. The size of the flap ranged from 16 cm × 10 cm to 23 cm × 15 cm. The donor sites were covered with splite thickness skin grafts. Results Infection occurred in 2 flaps at 5-7 days and was cured after 1 week of dressing change; the other flaps survived and the wounds healed by first intention. The incisions healed well and the skin grafts survived at the donor sites. All cases were followed up 10-23 months (mean, 18 months). The appearance of the flap was slightly overstaffed, but the color and texture were satisfactory. All fractures healed at 8-10 months after operation. Conclusion It is effective to repair wound defects with exposed tibia in the proximal-middle leg with reverse anterolateral thigh flap and muscle flap.

    Release date:2016-08-31 04:22 Export PDF Favorites Scan
  • 腓浅血管双向供血桥式皮瓣覆盖外露胫骨

    根据小腿前外侧浅血管神经的解剖特点,设计了腓浅动脉双向供血桥式皮瓣,向内推移覆盖外露胫骨12例,获得较好效果。介绍了应用解剖及手术方去,并对双向供血桥式皮瓣设计原理及手术成功的关键进行了深入细致的讨论。

    Release date:2016-09-01 11:18 Export PDF Favorites Scan
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