Ger R
J Bone Joint Surg Am. 1978 Apr;60(3):366-9.
Certain post-traumatic defects of the lower extremity present difficult problems in therapy and current methods of management do not offer satisfactory solutions. One such defect is an ulcerative lesion of the lower limb eroding the tibia and forming a chronic, rigid-walled cavity. We describe an operation in which the bone cavity is filled by viable tissue which acts as a bed for a skin graft. In chronic stasis ulcers it has been established that the tendo calcaneus will accept a skin graft, provided the paratenon is left undisturbred.
某些下肢创伤后缺损在治疗上存在难题，当前的处理方法无法提供令人满意的解决方案。其中一种缺损是侵蚀胫骨并形成慢性、壁厚坚硬的腔隙的下肢溃疡性病变。我们描述了一种手术，在该手术中骨腔由有活力的组织填充，该组织作为皮肤移植的床。在慢性淤积性溃疡中，已证实只要保留腱旁组织不受干扰，跟腱就能接受皮肤移植。
