带血管的股骨内侧髁骨软骨嵌合组织瓣修复跖骨头复合组织缺损一例

Vascularised medial femoral condylar osteochondral chimeric tissue flap for repairing a complex tissue defect in metatarsal head:A case report

2019年2月,收治1例开放性第1跖骨头背侧软骨及骨缺损患者,伴软组织、肌腱及关节囊缺损,经多次创面清创治疗后二期在全身麻醉下行带血管的股骨内侧髁骨软骨嵌合组织瓣修复跖骨头复合组织缺损。术后18个月随访,负重患足无疼痛、行走无跛行,供区无不适,术后功能恢复满意。

In February,2019,a patient with a defect of open dorsal cartilage and bone in the first metatarsal head,including the defects of soft tissue,tendon and joint capsule,was treated in our department.After multiple debridement,the vascularised medial femoral condyle osteochondral chimeric tissue flap was transferred to repair the composite tissue defect in the metatarsal head at the second stage.After 18 months of follow-up,the patient felt no pain in the foot and walking,and there was no sign of lameness and discomfort at donor sites.The postoperative functional recovery was satisfactory.