Georgescu Alexandru V, Ivan Ovidiu
Medical School, University I Hatieganu of Cluj-Napoca, Cluj-Napoca, Romania.
Microsurgery. 2003;23(3):217-25. doi: 10.1002/micr.10127.
The authors present their experience in surgical reconstruction of bone lesions in posttraumatic bone defects, pseudarthrosis, and osteitis by using the free serratus anterior-rib flap. The flap was used in 12 cases: 7 cases in the upper limb, and 5 cases in the lower limb. The overall immediate success rate in our series was of 91.7%. We had only one failure, due to a venous thrombosis. In all successful cases, the rib showed good integration. This procedure seems to be very useful in the reconstruction of small and medium bone defects, especially in the upper limb.
作者介绍了他们使用游离前锯肌-肋骨瓣对创伤后骨缺损、假关节和骨炎进行骨病变手术重建的经验。该瓣应用于12例患者:上肢7例,下肢5例。我们系列中的总体即刻成功率为91.7%。我们仅有1例失败,原因是静脉血栓形成。在所有成功病例中,肋骨显示出良好的融合。该手术在中小型骨缺损的重建中似乎非常有用,尤其是在上肢。