带监测皮岛的腓骨移植治疗胫骨骨缺损与骨不连临床分析

Fibula Transplantation with Monitoring Skin Island for the Treatment of Tibial Bone Defects and Nonunion

目的:探讨带监测皮岛的腓骨移植修复胫骨骨缺损与骨不连的临床疗效。方法:将带监测皮岛的腓骨移植治疗胫骨骨缺损与骨不连,其中带蒂腓骨移植8例,吻合血管游离腓骨移植6例,移植腓骨长度8.0～12.0cm,平均(10.3±1.7)cm.术后10d内连续观察监测皮岛的颜色、温度、弹性、毛细血管充盈等指标,定期影像学检查、评价腓骨移植愈合情况。结果:术后随访18～54个月,平均(30.3±10.9)个月,X线显示平均(7.0±0.9)个月胫骨已骨性愈合,腓骨可见增粗、塑形、无折断。结论:带监测皮岛的腓骨移植是治疗胫骨骨缺损与骨不连的良好方法。

Objective： To investigate the clinical efficacy of the fibula transplantation with monitoring skin island for the treatment of tibial bone defects and nonunion. Methods：Use fibula transplantation with monitoring skin to treat tihial bone defects and nonunion, including 8 cases of pedicle fibula transplantation and 6 cases of free vaseularized fibula transplanta- tion. The length of these fibulas is 8.0~12.0cm, average of （10.3＋1.7） cm. The color, temperature, elasticity, capil- lary engorge and other indicators were observed continuously for 10 days after operation, and the periodic imaging examination was to evaluate fibular transplant healing. Results： Patients were followed up for 18- 54months, average of （30.3 ±10.9） months. The X-ray showed after average of （7.0±0. 9） months, the fibula were bone healing, with thickening, shaping and no breaking of the fibula. Conclusion：The fibula transplantation with monitoring skin island is a good method for the treatment of tibial bone defects and nonunion.