Liu X, Ge B, Wen Y
Department of Orthopedics, General Hospital of Lanzhou Command.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1997 Sep;13(5):352-3.
The segmented-fibula osteoseptocutaneous flap has been used to repair the bone and soft tissue defects of the forearm. During the operation, the fibula is divided subperiosteally at proper site according to the bony defects. The two segments of the fibula were then inserted to the radial and ulnar defects before vascular anastomosis is performed. Experience shows that anastomosis of only one group of vessels can ensure survival of both the segmented fibula and the cutaneous flap. Care should be taken to protect the muscle cuff and periosteum of the fibula, which is the source of blood supply to one segment. Four patients with bone and soft tissue defects of the forearm have been treated using this method. All the flaps survived with good function. The success of this technique contributes to the application of the free fibular flap in repair of forearm injury or osteomyelitis.
节段性腓骨骨膜皮瓣已被用于修复前臂的骨与软组织缺损。手术过程中，根据骨缺损情况在合适部位进行腓骨骨膜下分割。然后在进行血管吻合之前，将两段腓骨分别插入桡骨和尺骨缺损处。经验表明，仅吻合一组血管就能确保节段性腓骨和皮瓣存活。应注意保护腓骨的肌袖和骨膜，其是其中一段的血供来源。已使用该方法治疗了4例前臂骨与软组织缺损患者。所有皮瓣均存活且功能良好。该技术的成功有助于游离腓骨瓣在前臂损伤或骨髓炎修复中的应用。
