中国现代手术学杂志2025，Vol.29Issue(2)：147-151,5.DOI:10.16260/j.cnki.1009-2188.2025.02.010
游离腓骨复合组织瓣修复第一跖骨大段缺损伴骨外露
Reconstruction of extensive first metatarsal bone defects with bone exposure using free fibular osteosep-tocutaneous flaps:a report of 6 cases
摘要
Abstract
Objective To investigate the clinical outcomes of reconstructing extensive first metatarsal defects with concomitant soft tissue loss and bone exposure using free fibular osteoseptocutaneous flaps.Methods A retrospective analysis was conducted on 6 patients who underwent reconstruction of extensive first metatarsal defects with concomitant soft tissue loss and bone exposure using free fibular osteoseptocutaneous flaps with microvascular anastomosis between June 2015 and October 2023.The bone defects measured 3.5 cm to 4.8 cm in length,with soft tissue defects ranging from 3.8 cm×3.2 cm to 7.5 cm×3.5 cm.Results The harvested osteoseptocutaneous flaps measured 4.0 cm×3.5 cm to 8.0 cm×4.0 cm.All six vascularized fibular osteoseptocutaneous flaps survived completely without vascular crisis.During the 12-24-month follow-up,primary healing was achieved at all donor and recipient sites,with flap viability maintained and favorable outcomes.All fractures were healed within 3 to 4 months postoperatively,with no evidence of resorption or necrosis in the grafted fibular grafts.Functional outcomes assessed using the Maryland Foot Score were excellent in 3 cases,good in 2,and fair in 1.Conclusion The free fibular osteoseptocutaneous flap reconstruc-tion is an effective method for repairing extensive first metatarsal defects with soft tissue loss and bone exposure,offering a shortened treatment duration,accelerated patient recovery,and improved foot function restoration.关键词
腓骨复合组织瓣/皮瓣移植修复/第一跖骨/足损伤/骨缺损/骨外露/皮肤软组织缺损Key words
fibular osteoseptocutaneous flaps/flap transplantation and reconstruction/first metatarsal bone/foot injury/bone defects/bone exposure/skin and soft tissue defects引用本文复制引用
崔满意,董谢平,高发鹏..游离腓骨复合组织瓣修复第一跖骨大段缺损伴骨外露[J].中国现代手术学杂志,2025,29(2):147-151,5.基金项目
淮安市卫生健康科研项目(HAWJ2024031) （HAWJ2024031）
