Kaminski Andrzej, Bürger Heinz, Müller Ernst Josef
Department of Traumatology, Landeskrankenhaus Klagenfurt, Austria.
Acta Orthop Belg. 2008 Apr;74(2):235-9.
Five patients with atrophic or septic non-union of long bones were treated with free vascularised corticoperiosteal bone flaps. The patients had undergone an average of nine prior operations (range, 2-29). The treatment was combined with repeat internal fixation in four patients,. Treatment took place an average of 25.5 months (range 5-83 months) after the initial injury. The thin corticoperiosteal grafts were harvested from the supracondylar region of the femur. One patient died from unrelated causes 2.5 months postoperatively. In the other four patients, bone healing was documented after an average of 7.7 months (range 6-11 months). No further operations were necessary during the follow-up period of 13.7 months on average (range 10-17 months). There were no complications associated with the procedure. The treatment presented here is complex but was successful in this small population. The procedure has the potential to become established as a treatment option for problematic bone defects.
5例长骨萎缩性或感染性骨不连患者接受了带血管蒂游离皮质骨膜骨瓣治疗。这些患者平均接受过9次先前手术（范围为2 - 29次）。4例患者的治疗联合了再次内固定。治疗在初次受伤后平均25.5个月（范围为5 - 83个月）进行。薄皮质骨膜移植物取自股骨髁上区域。1例患者术后2.5个月死于无关原因。在其他4例患者中，平均7.7个月（范围为6 - 11个月）后记录到骨愈合。在平均13.7个月（范围为10 - 17个月）的随访期内无需进一步手术。该手术无相关并发症。此处介绍的治疗方法复杂，但在这一小群患者中取得了成功。该手术有潜力成为有问题骨缺损的一种治疗选择。
