Department of Orthopedics and Hand Center, Tokushima Prefecture Naruto Hospital, Tokushima, Japan.
Kansai Medical University, Osaka, Japan.
J Hand Surg Asian Pac Vol. 2022 Jun;27(3):594-597. doi: 10.1142/S2424835522720201.
We reconstructed a segmental bone defect in a finger associated with a dorsal skin defect using a bone graft covered with a free medial femoral condyle periosteal flap and a skin graft in two patients. The vascularised periosteal flap (VPF) improved the survival of the bone graft and allowed the take of the skin graft. The use of a VPF can be considered in patients with crush injury of the digits with segmental loss of bone and dorsal skin Level V (Therapeutic).
我们在两名患者中使用带骨膜游离股骨内侧髁皮瓣覆盖的骨移植物和皮片移植重建了伴有背侧皮肤缺损的手指节段性骨缺损。带血管蒂骨膜瓣（VPF）可改善骨移植物的存活率并使皮片移植得以成活。对于伴有节段性骨和背侧皮肤缺损的手指挤压伤患者，可考虑使用 VPF（治疗性）。
