腓浅血管筋膜蒂胫腓骨膜瓣治疗胫骨骨不连15例疗效分析

The effect of superficial peroneal vascular fascia pedicel tibiofibular periosteal flap treatment on 15 cases of nonunion of tibia

目的:探讨腓浅血管筋膜蒂胫腓骨膜瓣治疗胫骨骨不连的治疗方法及疗效。方法:采用腓浅血管筋膜蒂胫腓骨膜瓣转位并取胫骨远端少许松质骨植骨,并行交锁髓内钉固定治疗胫骨骨不连15例。结果:随访12～36个月,平均21个月,采用Paley骨折愈合评分标准:优11例,良3例,一般1例,优良率为93.3%。本组全部治愈(15/15)。结论:以腓浅血管筋膜蒂胫腓骨膜瓣治疗胫骨骨不连,促进骨折愈合,疗效可靠,值得推广应用。

Objective：To investigate surgical treatment method and its effect on the tibial nonunion. Methods：15 cases were operated by superficial peroneal vascular fascia pedicel tibiofibular periosteal flap translocation combined with a little cancellous bone of distal tibial graft and interlocking intramedullary nailing fixation. Results：Patients were followed-up between 12 to 36 months with the average of 21 months. Paley fracture healing standard showed that 11 cases were excellent,3 cases were good,and 1 case was general,excellent and good cases accounted for 93.3%. In this research,all patients were cured （15 / 15）. Conclusion：Superficial peroneal vascular tibiofibularfascia pedicel tibiofibular periosteal flap and interlocking intramedullary nailing cloud treat nonunion of tibia well with stable internal fixation and promotion of the healing of nonunion,and be worthy to be promoted and applied.