Repairation of bone and skin defect in leg with vascularized tibial bone-skin flap graft

VernacularTitle:带蒂胫骨皮瓣移植修复小腿创伤性感染性骨和软组织缺损
Author: Hongtao TANG ; Caining LI ; Chong WANG ; Zhenzhen CHENG ; Chunsheng CHENG
Publication Type:Journal Article
Keywords: Tibial bone-skin flap; Bone-skin defect; Leg; Transplantation
From: Chinese Journal of Microsurgery 2015;38(5):428-431
CountryChina
Language:Chinese
Abstract: Objective To explore the outcome of the tibial bone-skin flap grafts in the management of severe traumatic osteomyelitis complicated with bone and skin defect in leg.Methods Twenty-seven cases of the traumatic osteomyelitis complicated with bone and skin defect in leg were treated with vascularized tibial bone-skin flap grafe from August, 2007 to November, 2013.Reconstruction of limb tibia continuity and cover the wound.Results The tibial bone-skin flaps were completely survived in 26 of the 27 cases except 1 ease which was repaired by adjacent flap because of the disorder blood circulation.The followed-up showed that all flaps had good blood circulation.The infection was controlled completely.The leg function and contour were satisfactory.Conclusion The tibial boneskin flap has the advantages of abundant blood supply, full bone-skin flap supply, shortens hospitalization and suitable for treatment of traumatic osteomyelitis complicated with bone and skin defect in leg.