Prochaska V J, Lindgren J U
Creighton-Nebraska Health Foundation.
Nebr Med J. 1994 Oct;79(10):349-52.
New methods of treatment have greatly improved the success of limb salvage in severe lower extremity trauma. We report the use of a microvascular free tissue transfer and distraction osteogenesis in the reconstruction of soft tissue and bone defects complicated by infection. Soft tissue coverage and bony stabilization by external fixation resulted in eradication of the infection. The external fixator also allowed bone transport and regeneration to overcome a bone defect of approximately 6 cm. Bone transportation can be accomplished in a distal to proximal direction if the situation necessitates it. These techniques are extremely versatile and useful in the treatment of bone and soft tissue defect.
新的治疗方法极大地提高了严重下肢创伤肢体挽救的成功率。我们报告了在伴有感染的软组织和骨缺损重建中使用微血管游离组织移植和牵张成骨术。通过外固定实现软组织覆盖和骨稳定，从而根除感染。外固定器还能实现骨运输和再生，以克服约6厘米的骨缺损。如有必要，骨运输可按远端至近端的方向进行。这些技术在治疗骨和软组织缺损方面极为通用且有用。
