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根据解剖学基础设计应用以桡、尺动脉筋膜皮支筋膜瓣包绕植骨治疗经多次传统手术失败的前臂骨折不连接7例。术中用以桡动脉或尺动脉筋膜皮支的宽4~5cm 的侧蒂筋膜瓣将桡骨或尺骨骨折端反转包绕。经随访,7例全部骨性愈合。本文介绍了应用解剖,讨论了筋膜瓣促进骨折愈合的机制、优点和手术操作要点。
According to anatomical design and application, radial and ulnar fasciocutaneous fasciocutaneous flap was used to treat 7 cases of forearm fractures that failed after many traditional surgeries. Intraoperative use of radial artery or ulnar artery fasciocutaneous branch width 4 ~ 5cm lateral pedicle fascia flap will reverse the radius or ulna fracture wrap. After follow-up, all 7 cases healed. This article describes the application of anatomy, discusses the mechanism of the fascia flap to promote fracture healing, advantages and surgical operation points.