[Free iliac flap grafting for repair of tibia traumatic XXXX complicated with @entity79 ].

@entity1 @entity174 @entity4034 @entity79 @entity2981 @entity130
OBJECTIVE: To investigate the method and clinical effect of free iliac flap grafting in repairing the tibia traumatic @entity4034 complicated with @entity79 . METHODS: From June 2001 to February 2006, 28 @entity1 with tibia traumatic @entity4034 complicated with @entity79 were treated with free iliac flap grafting at stage I. There were 18 males and 10 females, with an average of 32.5 years(18-68 years). There were traffic injury in 11 cases, @entity2981 in 6 cases, @entity130 in 5 cases, @entity130 in 4 cases, and @entity130 in 2 cases. The disease courses of @entity1 were 1-6 months. All @entity1 had been treated by 2-6 operations. The wounds located at the mid and upper tibia in 13 cases, and the inferior tibia in 15 cases. The length of free iliac was 0.5-6.0 cm and the size of the flap ranged from 4.5 cm x 3.5 cm to 28.0 cm x 16.0 cm. The external fixation were applied in 18 cases, and steel plate were applied in 10 cases. The donor sites were sutured directly. RESULTS: All of the flaps survived completely. The wounds healed by first intention in 26 cases and by second intention in 2 cases. The donor sites healed by first intention. Twenty-eight @entity1 were followed up for 6 to 56 months (mean, 30 months). The appearances of the flaps were satisfactory and the colour was similar to recipient site. All grafted bone united 2-14 months (mean, 4.6 months) after operation according to X-ray examination. In 20 @entity1 who did not achieved union before operation, @entity174 healed 2 to 6 months after operation(mean, 3.2 months). @entity4034 recurred 12 months after operation in 2 cases and healed by nidus clearing. CONCLUSION: Free iliac flap which used to repair tibia traumatic @entity4034 complicated with @entity79 , can repair the defect at stage I and enhance the anti-infectious ability. It is one of appropriate and effective clinical methods.
