The fibula-flexor hallucis longus osteomuscular flap

被引:22
作者
Ruch, DS
Koman, LA
机构
[1] Bowman Gray School of Medicine, Winston-Salem, NC
[2] Bowman Gray School of Medicine, Winston-Salem, NC 27157-1070, Medical Center Boulevard
[3] Department of Orthopaedic Surgery, Bowman Gray School of Medicine, Winston-Salem, NC 27157-1070, Medical Center Boulevard
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1997年 / 79B卷 / 06期
关键词
D O I
10.1302/0301-620X.79B6.7556
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Limb salvage after loss of bone and soft tissue may require many operations to obtain soft-tissue cover and bony continuity. We describe a fibula-flexor hallucis longus osteomuscular flap which can provide both soft tissue and bone in a single stage, The flap is based on the peroneal vessels and is covered by a split-thickness skin graft. We report the results in five patients with an average bone defect of 8.3 cm and soft-tissue and skin loss. All regained a normal gait on the donor side; four had clinical and radiological union with excellent soft-tissue cover; but one required later amputation due to diffuse coagulopathy. The flap provides free vascularised bone with muscle cover, It has a dependable, long pedicle with minimal morbidity at the donor site, and allows monitoring of the vascularity of the fibular graft.
引用
收藏
页码:964 / 968
页数:5
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