腓骨头复合组织瓣修复儿童内踝骨与皮肤缺损：附4例报告
[Fibular head composite flap for bone and skin defect at medial malleolus in children: a report of 4 cases].
作者信息
Liu Yong, Zhang Cheng-Jin, Fu Xing-Mao, Wang Jian-Li, Wang Cheng-Qi
机构信息
The Traumatic Centre 89th Hospital of PLA, Weifang 261021, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 Mar;27(2):95-7.
OBJECTIVE
To investigate the therapeutic effect of fibular head composite flap for bone and skin defect at medial malleolus in children.
METHODS
From Aug. 2005 to Apr. 2009, 4 children cases (2 male, 2 female, from 3 to 11 year) with bone and skin defect at medial malleolus were reconstructed with fibular head composite flaps pedicled with lateral inferior genicular vascular bundle. The skin defect was 3- 6 cm x 8-10 cm in size.
RESULTS
All the 4 composite flaps survived completely. The patients were followed up for 4 months to 4 years with good bony healing. Both esthetic and functional results were satisfactory in ankle joint.
CONCLUSIONS
The fibular head composite tissue flap has a good therapeutic effect for bone and skin defect at medial malleolus in children.
目的
探讨腓骨头复合组织瓣修复儿童内踝骨与皮肤缺损的治疗效果。
方法
2005年8月至2009年4月，对4例（男2例，女2例，年龄3至11岁）内踝骨与皮肤缺损患儿，采用以膝下外侧血管束为蒂的腓骨头复合组织瓣进行修复。皮肤缺损面积为3 - 6厘米×8 - 10厘米。
结果
4例复合组织瓣全部成活。随访4个月至4年，骨愈合良好。踝关节的美观及功能效果均满意。
结论
腓骨头复合组织瓣修复儿童内踝骨与皮肤缺损的治疗效果良好。
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