带筋膜蒂桡骨瓣在第1掌骨缺损中的应用

Transfer of radius fascia bone-skin flap for repairing the first metacarpal bone defect

目的介绍应用带筋膜蒂桡骨瓣治疗第1掌骨缺损的手术方法。方法对9例外伤性第1掌骨缺损患者，设计带桡侧筋膜蒂的桡骨下段骨瓣进行修复。结果术后经6-48个月随访，移植骨块全部骨性愈合，手功能按手外科学会上肢功能评定标准评定，优7例，良2例。结论骨瓣切取方便，血供可靠且不损伤主要血管，是修复手部软组织伴骨缺损的较好方法。

Objective To report the treatment outcome of transfering radius fascia bone-skin flap for repairing the first metacarpal bone defect. Methods 9 patients with the first metacarpal bone defect were repaired by transfering radius fascia bone-skin flap. Results All the bone-skin flaps completely survived. The patients were followed-up for 6 to 48 months postoperatively, the bone union was obtained in all transplants.According to the upper arm function assessment criterion issued by hand surgery association of Chinese Medical Association, excellent results was in 7 cases and good results was in 2 case. Conclusion The radius fascia bone-skin flap has following advantages： easy dissection, reliable blood supply, and no major blood vessel needed to be sacrificed, so it is an effective procedure for repairing the first metacarpal bone defect.