Objective: To study the effect of vascularized fibular graft on large defects of long bones and the monitoring method for the vascular status of the grafted fibula. Methods: From March 1988 to February 1998, 30 patien...Objective: To study the effect of vascularized fibular graft on large defects of long bones and the monitoring method for the vascular status of the grafted fibula. Methods: From March 1988 to February 1998, 30 patients with long bone defects over 6 cm in length received vascularized fibular graft including a monitoring island flap in our department to monitor the blood circulation of the fibulae. Results: Monitoring island abnormalities were indicated in 6 flaps, which accurately gave the alarm of the circulation crisis of the fibular graft. Surgical exploration was performed timely and the blood supply was recovered instantaneously. All the bone defects were healed at 6 months postoperatively. After 4 years of follow up, all the grafted fibulae were thickened and were just like tibiae. Conclusions: A monitoring island flap is a satisfactory method for repairing large defects of the long bones and a reliable method for assessing the vascular status of the grafted fibulae.展开更多
[Abstract] Objective： To report the technique of reconstruction of large skin and soft tissue defects in the upper extremity using pedicled latissimus dorsi myocu- taneous flaps. Methods： Six patients with large sk...[Abstract] Objective： To report the technique of reconstruction of large skin and soft tissue defects in the upper extremity using pedicled latissimus dorsi myocu- taneous flaps. Methods： Six patients with large skin and soft tissue defects were included in this report. There were 5 trauma patients and the rest one needed to receive plastic surgery for his extremity scar. All wounds were in the upper extremity. The sizes of defects ranged from 15 cmx6 cm to 30 cmx 18 cm. Pedicled latissimus dorsi myocutaneous flaps were designed according to the defect area and raised with part of latissi- mus dorsi. The thoracodorsal artery and its perforators were carefully protected during surgery. Results： All flaps healed primarily without flap congestion, margin necrosis or infection. The skin donor sites either received split-thickness skin graft （3 cases, mostly from the anterior thigh） or was closed primarily （3 cases） and had minimal morbidity. Follow-up of 6-12 months showed that the contour of flap was aesthetic and the func- tion of limb was excellent. Conclusion： Our experience indicates that the pedicled latissimus dorsi myocutaneous flap is favorable for recon- struction of large skin and soft tissue defects in the upper extremity展开更多
基金MajorPlanningProjectsofScienceandTechnologyofGuangzhouCity (No .96 Z 70 2 )
文摘Objective: To study the effect of vascularized fibular graft on large defects of long bones and the monitoring method for the vascular status of the grafted fibula. Methods: From March 1988 to February 1998, 30 patients with long bone defects over 6 cm in length received vascularized fibular graft including a monitoring island flap in our department to monitor the blood circulation of the fibulae. Results: Monitoring island abnormalities were indicated in 6 flaps, which accurately gave the alarm of the circulation crisis of the fibular graft. Surgical exploration was performed timely and the blood supply was recovered instantaneously. All the bone defects were healed at 6 months postoperatively. After 4 years of follow up, all the grafted fibulae were thickened and were just like tibiae. Conclusions: A monitoring island flap is a satisfactory method for repairing large defects of the long bones and a reliable method for assessing the vascular status of the grafted fibulae.
文摘[Abstract] Objective： To report the technique of reconstruction of large skin and soft tissue defects in the upper extremity using pedicled latissimus dorsi myocu- taneous flaps. Methods： Six patients with large skin and soft tissue defects were included in this report. There were 5 trauma patients and the rest one needed to receive plastic surgery for his extremity scar. All wounds were in the upper extremity. The sizes of defects ranged from 15 cmx6 cm to 30 cmx 18 cm. Pedicled latissimus dorsi myocutaneous flaps were designed according to the defect area and raised with part of latissi- mus dorsi. The thoracodorsal artery and its perforators were carefully protected during surgery. Results： All flaps healed primarily without flap congestion, margin necrosis or infection. The skin donor sites either received split-thickness skin graft （3 cases, mostly from the anterior thigh） or was closed primarily （3 cases） and had minimal morbidity. Follow-up of 6-12 months showed that the contour of flap was aesthetic and the func- tion of limb was excellent. Conclusion： Our experience indicates that the pedicled latissimus dorsi myocutaneous flap is favorable for recon- struction of large skin and soft tissue defects in the upper extremity
