IMMEDIATE REPAIRING OF THE BONE DEFECT OF FEMUR SHAFT WITH ILIAC BONE GRAFTING WITH MUSCLE PEDICLE OR VASCULAR PEDICLE
- VernacularTitle:带肌蒂或血管蒂髂骨瓣移植修复股骨干骨缺损
- Author:
Xinyan LIU
;
Ping ZHEN
;
Yiming WEN
- Publication Type:Journal Article
- Keywords:
Bone defect;
Femur;
Bone implantation
- From:
Chinese Journal of Microsurgery
1998;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To repair the bone defect from gunshot wounds immediately with iliac bone graft with muscle pedicle or vascular pedicle.Methods:Fifteen bone defects of femur shaft from gunshot wounds of 15 patients have been repaired immediately with iliac bone graft with sartorius mus- cle pedicle or ascending branch of lateral femoral circumflex artery pedicle since 1985.There were 13 male patients and 2 female patients with an age range of 18 to 50.Of the 15 fractured,12 were classified as Winquis-Hansen type Ⅲ and 3 were type Ⅳ.Results:All of the patients were followed up for a period of 3 to 24 months and had a excellent bone union.The mean time to bone union was 16 weeks.The mo- tion range of knee was 100 to 132;with an average of 125.Conclusion:Iliac bone graft with sartorius muscle pedile or ascending branch of lateral femoral circumflex artery pedicle could be resected easi- ly.The vascularized iliac bone with independent blood supplies filled up the defected area of bone and improved the blood supplies of the local regions,thus accelerating bone union.
