由于胫骨前方软组织比较薄弱,胫骨的中下1/3处高能量损伤常常导致开放骨折并软组织缺损,形成皮肤坏死骨外露,增加了创伤性骨髓炎的发病率[1,2]。胫前皮肤移动性小,小面积的软组织缺损也难以通过创缘的游离而直接缝合关闭伤口,多需要行皮瓣和复合组织的转位或移植来修复[3,4]。河南总队医院于2009-02至2012-03应用股前外侧皮瓣和带血管蒂足背皮瓣修复胫骨下段创伤性骨髓炎伴软组织缺损30例,并随访2年,疗效满意。
关键词
胫骨下段骨折 /
软组织缺损 /
皮瓣
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参考文献
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