应用带蒂皮瓣、肌皮瓣修复小腿骨外露、骨髓炎创面

Application of pedicled cutaneous and myocutaneous flap in post-traumatic leg skin defect with bone exposure and osteomyelitis

目的 解决小腿外伤后皮肤缺损并骨折、骨外露、骨髓炎创面的修复问题。方法 术前行创面分泌物培养 +药敏试验 ,清创 ,去除坏死的组织及内固定 ,术后采用敏感抗生素滴注引流。感染控制后 ,应用带蒂皮瓣、肌皮瓣修复 ,并继续滴注引流 ,至感染消失。结果 临床应用 11例 ,10例获得满意效果。结论 应用带蒂皮瓣、肌皮瓣是修复小腿皮肤缺损并骨折、骨外露、骨髓炎创面较好的方法。

Objective To repair the post-traumatic leg skin defect combined with fracture, bone exposure and osteomyelitis. Methods Before operation, all cases received necrotic tissue excision and internal fixation, local application of sensitive antibiotic by drip-drainage of the wound. Operation was performed after the infection was controlled, using pedicled cutaneous flap and myocutaneous flap to repair the defect. Results Satisfactory appearance and good function were obtained in all 11 cases. Conclusion It showed that the pedicled cutaneous flap and myocutaneous flap both are ideal method for the treatment of post-traumatic leg skin defect combined with fracture, bone exposure and osteomyelitis.