Sharma S, Tiwari P, Kasabian A K, Longaker M T
The Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York 10016, USA.
Ann Plast Surg. 2000 Aug;45(2):202-6. doi: 10.1097/00000637-200045020-00020.
A 43-year-old man sustained severe injuries to his lower limbs with extensive soft-tissue damage and bilateral tibial-fibular fractures. Acutely, the patient underwent external fixation and a free latissimus dorsi flap for soft-tissue coverage of the left leg. However, the tibia had a nonviable butterfly fragment that left a 7-cm defect after debridement. Subsequently, the contralateral fractured fibula was used as a bridging vascularized graft for this tibial defect. The transfer of a fibula containing the zone of injury from a previous high-energy fracture has not been reported. This case demonstrates the successful microvascular transfer of a previously fractured fibula for the repair of a contralateral tibial bony defect.
一名43岁男性下肢遭受严重损伤，伴有广泛软组织损伤和双侧胫腓骨骨折。急性期，患者接受了外固定和游离背阔肌皮瓣移植以覆盖左腿软组织。然而，胫骨有一块无活力的蝶形骨块，清创后留下7厘米的缺损。随后，对侧骨折的腓骨被用作带血管的桥接移植来修复该胫骨缺损。将含有先前高能骨折损伤区域的腓骨进行转移的情况尚未见报道。本病例展示了成功地将先前骨折的腓骨进行微血管转移以修复对侧胫骨骨缺损。
