Wang Li-Fu, Su Xin, Chen Mo-Xuan, Zhang Hong-Wei, Hou Zuo-Qiong
Department of Plastic and Burns Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2012 Jul;28(4):264-7.
To investigate the efficacy of surgical method with the soleus muscle flap for repairing the soft-tissue defects in the middle and distal thirds of the leg, combined with open tibial fracture and/or osteomyelitis.
From May 2007 to December 2011, 8 cases with soft-tissue defects in the middle and distal thirds of the leg were treated with soleus muscle flaps, including 5 cases with chronic osteomyelitis and 3 cases with open tibial fracture and acute osteomyelitis. The defects size ranged from 8 cm x 6 cm to 12 cm x 10 cm. The surface of muscle flaps was covered by split-thickness skin graft. The defects at the donor site were closed directly.
All the muscle flaps and skin grafts survived completely and fracture was healed. The patients were followed up for 2 to 54 months with satisfactory cosmetic and functional results.
The soleus muscle flap is an effective and feasible method for reconstruction of the soft-tissue defects in the middle and distal thirds of the leg, combined with open tibial fracture and/or osteomyelitis. The morbidity at donor sites is also minor.
探讨采用比目鱼肌瓣修复小腿中下段软组织缺损并伴有开放性胫骨骨折和/或骨髓炎的手术方法的疗效。
2007年5月至2011年12月，对8例小腿中下段软组织缺损患者采用比目鱼肌瓣治疗，其中慢性骨髓炎5例，开放性胫骨骨折并急性骨髓炎3例。缺损大小为8 cm×6 cm至12 cm×10 cm。肌瓣表面覆盖中厚皮片。供区缺损直接缝合。
所有肌瓣及皮片全部成活，骨折愈合。患者随访2至54个月，外观及功能效果满意。
比目鱼肌瓣是修复小腿中下段软组织缺损并伴有开放性胫骨骨折和/或骨髓炎的一种有效且可行的方法。供区并发症也较少。
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