刘兴炎 葛宝丰 甄平 高秋明 李旭升 傅晨 730050兰州，兰州军区总医院创伤骨科 中华骨科杂志 1999 0 19 4


    关键词：骨移植腓骨显微外科手术 期刊 zhgkzz 0 临床研究 fur -->


    

【摘要 】目的探索扩大吻合血管腓骨移植修复骨缺损的应用范围。方法应用吻合血管节段性腓骨移植修复骨肿瘤切除后腔性骨缺损；吻合血管双节段腓骨或复合组织瓣移植一期修复尺、桡骨缺损；对于Ⅲ度胫骨粉碎性骨折，采用带血管或吻合血管腓骨移植，起到内夹板固定作用，并加速骨折的愈合。结果所有被修复骨缺损均获良好愈合，其功能与外形均令人满意。结论以上术式的开展，扩大了吻合血管腓骨移植的应用范围，为腓骨移植展示了良好的临床应用前景。

    

Innovations of theClinical Applications of Vascularized

    Fibular Transplantation

LIU Xingyan,GE Baofeng,ZHEN Ping，et al.

    Department of Orthopaedics,Lanzhou Army General Hospital,Lanzhou 730050

【Abstract 】Objective To extand the scopeof clinical application of vascularized fibular graft for repairing bone defect.MethodsThe vascularized segmental fibular graft was used to repair the bone defect due to bonetumor resection.The folded vascularized fibular or composite tissue flaps were used totreat the bone defect of radius 000 and ulna.The vascularized or pedicle fibular graft forthe treatment of grade Ⅲ com-minuted fracture of tibia played the role of both internalfixation and accelerating bone healing.Results The repaired bone defects all had excellentbone healing with satisfactory functional recovery.Conclusion The new surgical treatmentsenlarged the scope of clinical application of vascularized fibular grafts and indicatedthe potential of a broad aspects of clinical application of fibular transplantation.

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