带髂胫束股前外侧皮瓣游离移植修复手背组织缺损

Repair of Tissue Defects of Tendon and Skin of Back of Hand by Femoral Anterolateral Free Flap with Iliotibial Tract

目的评定带髂胫束的股前外侧皮瓣游离移植修复手背组织缺损的疗效。方法回顾2006年6月~2010年6月,用带髂胫束的股前外侧皮瓣游离移植修复伸指肌腱并发手背区皮肤缺损12例,皮瓣切取范围7 cm′10 cm^8 cm′12 cm。髂胫束的切取长度7~13 cm,宽度8~10 cm。按中华医学会手外科学会上肢功能评定标准评定疗效。随访6个月~4年。结果 后所有皮瓣均成活。优3例,良6例,可3例。结论带髂胫束的股前外侧皮瓣游离移植是一种有效修复合伸指肌腱并手背区皮肤缺损的手术方法。

Objective To observe the clinical outcome of repair of the tissue defects of the tendon and skin with thigh anterolateral free flap with iliotibial tract. Methods The data was reviewed from June 2006 to June 2010, which the thigh anterolateral free flap with iliotibial tract were used to repair the defects of the tendon and skin of back of hand in 12 patients. The skin flap was 7 cm×10 cm-8 cm×12 cm in ar- ea. The iliotibial tract was 7-13 em in length and 8-10 cm in width. Institute of Hand Surgery of Chinese Medical Association was to assess the effect. The fellow-up of the 12 patients was 6 months-4 years. Results All the flaps survived after the operation. The result showed excellent in 3 patients, good in 6 and fair in 3. Conclusion It is an effective surgical method to repair the tissue defects of the tendon and skin with thigh anterolateral free flap with iliotibial tract.