肢体创伤性软组织缺损修复面面观.pdf

. 434 . 中国骨与关节杂志 2015 年 6 月第 4 卷第 6 期 Chinese Journal of Bone and Joint, June 2015, Vol 4, No.6 . 述评 Editorial . 肢体创伤性软组织缺损修复面面观 柴益民　陆晟迪　曾炳芳 DOI: 10.3969/j.issn.2095-252X.2015.06.002　　中图分类号：R685.4 作者单位：200233　上海交通大学附属第六人民医院 通信作者：曾炳芳，Email: bingfangz@163.com General view on the repair of traumatic soft tissue defects of extremities CHAI Yi-min, LU Sheng-di, ZENG Bing-fang. Department of Orthopaedic Surgery, the sixth People’s Hospital, Shanghai Jiaotong University, Shanghai, 200233, PRC Corresponding author: ZENG Bing-fang, Email: bingfangz@163.com Abstract Repir of soft tissue defects takes an important role in the field of traumatic repairative surgery, 【 】 including repair of the injuries and accidents resulted acute wounds, reconstruction for chronic wounds caused by diabetes and vascular diseases, salvage and functional reconstruction of the injured limbs. The repair of traumatic soft tissue defects of the extremities needs overall considerations on the evaluation, methods, principle, decision making and timing. The evaluation consists of the local condition of the injured limb, as well as the general condition, expectation value to the treatment, and the economic and psychological endurance capacity to the multiple reconstructive operations of the patients. Clinically available methods include VAC ( vacuum assisted closure ) technique, skin substitutes, skin graft, plasty of local skin flap, skin expender, pedicled transposition or transplantation of axial tissue flaps, neurofasciocutaneous or perforator flaps. The principles of repair of soft tissue defects are to use the like tissues to repair the defects, to reduce the damage to the donor sites, to reach the goals in both the functional and cosmetic outcome, to plan the operation carefully and comprehensively. The decision making can be done fo