多边外固定架在交腿皮瓣中的应用

The application of multilateral external fixation in cross leg flap

目的总结多边外固定架应用于交腿皮瓣的手术方法、疗效及优点。方法 2009年11月～2011年8月,采用多边外固定架固定37例交腿皮瓣。男30例,女7例,年龄16～60岁,平均37.5岁,一侧小腿皮肤软组织缺损并骨和(或)肌腱外露创面11cm×26.5cm～7.5cm×13cm。结果固定可靠,皮瓣全部成活,没有皮瓣血供障碍,没有压疮形成,膝踝关节功能正常,疗效满意。结论多边外固定架用于固定交腿皮瓣,手术操作简便、固定牢固,可获得较好疗效。

Objective To summarize the method, curative effect and merit. Methods Between November ：2009 and Au- gust 2011,37 patients with multilateral external fixation fix cross leg flap ,including 30 males and 7 females with an average age of 37. 5 years （ rang ,16 -60 years） ,the range of coloboma surface of bone or tendon reveal from llcm ×26.5cm to 7.5cm× 13cm. Results Fixation reliability, all skin flap take, no skin flap blood supply defeat, no bedsore occurrence, the joint function of knee and ankle is good, curative effect satisfaction. Conclusion Multilateral external fixation fix cross leg flap, which is a simple, firm, and effective method.