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《Chinese Journal of Bone and Joint Injury》 2017-08
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Clinical effect of grafting vascularized fibular osteoseptocutaneous flap with VSD for tibial osteomyelitis bone defect reconstruction

REN Jun-tao;ZHANG Yun-fei;JIN De-fu;SHEN Yun-shan;LI Peng;Department of Orthopedics,Xiangyang Hospital Affiliated to Hubei University of Traditional Chinese Medicine;  
Objective To investigate the clinical effect of grafting vascularized fibular osteoseptocutaneous flap with vacuum sealing drainage(VSD) for bone defect reconstruction in the patients with tibial osteomyelitis. Methods A retrospective analysis of 12 cases of tibial osteomyelitis bone defect was reported from September 2012 to September 2014. The patients underwent grafting vascularized fibular osteoseptocutaneous flap with VSD. The bone and soft tissue defect healing and functional recovery were evaluated. Results Patients were followed up for 12 to 24 months. All wounds of the 12 cases received primary healing within the first 14 days. Union at the host-graft junction was achieved at the 4th to 5th month under the X-ray examination. At the 12 th to 18 th month,follow-up showed complete incorporation of the graft. All patients had normal joint functions after the transplantation. No clinical or radiological evidences of chronic infection and recurrence were found. Conclusion It is an effective way to reconstruct bone defect by grafting vascularized fibular osteoseptocutaneous flap with VSD for the patients with tibial osteomyelitis.
【CateGory Index】: R687.3
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