- 期刊
Reconstruction of Lower Lower Leg Soft Tissue Defect by Tailored Latissimus Dorsi Free Flap -A Case Report
利用修裁過的闊背肌皮自由瓣治療達端前脛骨軟組織缺損──病例報告
摘要
本病例為遠端前方脛骨開放性骨折，經骨外固定及連續擴創後留下一個掌面大的軟組織缺損以及脛骨的暴露。我們採用修裁過的闊背肌皮自由瓣來覆蓋傷口，並得到相當滿意的結果。與傳統的闊背肌皮自由瓣比較，它減少了皮瓣的厚度而改善了術後傷口的美觀，並且由於增加了神經血管莖可利用的長度，對於遠端小腿傷口的重建幫助更大。
關鍵字
無資料並列摘要
This is a case report of compound distal tibial fracture with a large soft tissue difect. Bone exposure after debridement was present. A tailored latissimus dorsi musculo-cutaneous free flap was performed to cover this defect with satisfactory result. In comparison with the conventional design, it reduced the muscle bulk and provided a longer vascular pedicle. The merits of this flap offered a useful tool for soft tissue reconstruction of the lower leg.
延伸閱讀
- Wang, C. Y., Chou, C. Y., Chang, C. K., Wu, C. J., Chi, T. H., Chen, T. M., Chen, S. G., & Chang, S. C. (2016). 以同側帶莖腓骨皮瓣脛骨化作為Gustilo Type IIIC開放性腓骨脛骨骨折併脛骨部分缺失的重建方式. 臺灣整形外科醫學會雜誌, 25(1), 49-57. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201603-201604010002-201604010002-49-57
- Shih, K. C., & Chou, L. C. (2007). NexGen後穩定式高彎曲度人工膝關節之聚乙稀墊片脛骨棘斷裂：一病例報告. Journal of Orthopaedic Surgery Taiwan, 24(1), 30-34. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200703-24-1-30-34-a
- Fan, S. Y., Chen, H. C., Wei, F. C., Lee, Z. L., HSU, R. W. W., & Chen, S. H. T. (1997). 應用自由腓骨皮瓣治療先天性脛骨假性關節長期追蹤之案例報告. 中華民國重建整形外科醫學會雜誌, 6(2), 122-129. https://doi.org/10.7096/JPRSA.199706.0122
- Cheng, K. C., Lee, H. M., Hung, S. T., & Shih, J. T. (2007). 前十字韌帶重建術後之脛骨前囊腫併發於使用可吸收性螺絲固定複合式韌帶移植體：一病例報告. Journal of Orthopaedic Surgery Taiwan, 24(2), 51-55. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200706-24-2-51-55-a
- Hsieh, C. H., Huang, H. T., Liu, P. C., Lu, C. C., Chen, J. C., & Lin, G. T. (2010). 以經前側探查手術來治療後內側脛骨平台骨折. The Kaohsiung Journal of Medical Sciences, 26(3), 130-135. https://www.airitilibrary.com/Article/Detail?DocID=1607551X-201003-201003090094-201003090094-130-135