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应用跟外侧血管蒂骨膜瓣植入治疗儿童距骨坏死5例,结果显示:术后3～4个月X线片距骨密度及形态明显改善,8个月距骨形态恢复正常。并经3～10年的随访,疗效肯定。其具有以下优点:①清除死骨彻底减压;②重建距骨血液循环系统;③带血管的骨膜植入可为距骨带入成骨效应成分,加速骨重建。
Application and lateral pedicled periosteal flap pedicle flap in the treatment of children with talus necrosis in 5 cases, the results show: 3 to 4 months after X-ray from the bone mineral density and morphology significantly improved, 8 months, the shape of the talus returned to normal. And after 3 to 10 years of follow-up, efficacy is positive. It has the following advantages: ① remove the complete decompression of the sequestrum; ② reconstruction of the blood circulation system of the talus; ③ periosteum with vascular periosteal osteogenesis can be brought into the composition of components to accelerate bone remodeling.