Department of Foot and Ankle Surgery, Center for Orthopaedic Surgery, the Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Orthopaedic Hospital of Guangdong Province, Guangzhou, China.
J Int Med Res. 2021 May;49(5):3000605211017618. doi: 10.1177/03000605211017618.
To evaluate the clinical efficacy of free flap transplantation combined with Ilizarov bone transport in the treatment of severe composite tibial and soft tissue defects.
We retrospectively analyzed the clinical data of 40 patients with severe composite tibial and soft tissue defects who underwent free flap transplantation combined with Ilizarov bone transport. The clinical efficacy was evaluated according to the following criteria: success rate of wound repair by free flap transplantation, incidence or recurrence rate of deep infection, healing rate of bone defects and external fixation index, incidence of complications, and functional score of affected extremities.
All infections were generally well controlled by radical debridement and negative-pressure therapy, and all 40 patients' wounds healed after repair and reconstruction of the tibia and soft tissues. Postoperative complications were alleviated by active treatment. The mean external fixation time was 12.83 ± 2.85 months, and the external fixation index was 1.55 m/cm. According to the Association for the Study and Application of Methods of Ilizarov (ASAMI) score, an excellent or good functional outcome was attained in 85% of patients.
Free flap transplantation combined with Ilizarov bone transport is an effective treatment for severe composite tibial and soft tissue defects.
评估游离皮瓣移植联合伊利扎洛夫骨搬运术治疗严重胫骨和软组织复合缺损的临床疗效。
回顾性分析 40 例采用游离皮瓣移植联合伊利扎洛夫骨搬运术治疗的严重胫骨和软组织复合缺损患者的临床资料。根据游离皮瓣移植创面修复成功率、深部感染发生率或复发率、骨缺损及外固定指数愈合率、并发症发生率和患侧肢体功能评分评估临床疗效。
所有感染均经彻底清创和负压治疗得到有效控制，40 例患者的胫骨和软组织修复及重建后的创面均愈合。术后并发症经积极治疗后得到缓解。平均外固定时间为 12.83±2.85 个月，外固定指数为 1.55 m/cm。根据伊利扎洛夫应用研究协会（ASAMI）评分，85%的患者获得了优良的功能结果。
游离皮瓣移植联合伊利扎洛夫骨搬运术是治疗严重胫骨和软组织复合缺损的有效方法。
