Abstract：Objective:To investigate the effect of microsurgical treatment in GustiloⅢ ° open fracture of feet and ankle together with the soft tissue defects. Methods:41 cases with GustiloⅢ° open fracture of feet and ankle as well ash the soft tissue defects were treated from August 2006 to July 2010 . GustiloⅢ A type were 12 cases, Gustilo ⅢB were 11 cases and GustiloⅢ C were 8 cases. The defect areas of soft tissue were from 3.5 cm×3.0 cm to 25.0 cm×15.0 cm, the average defect area was 12.0 cm×8.0 cm .Of which 11 cases had soft tissue infections, bone infections in 4 cases. We debrided the wounds with microsurgery technique and repaired it with many kinds flaps. After debridement and internal fixation of wounds of 41 cases, neurovascular island flap were applied in 14 cases, 4 cases of medial plantar artery flap and free skin flap in 23 cases.Results:26 of 41cases repaired with flaps immediately after the surface of wounds were debrided, fractures of 15 cases were fixed firstly, and the wounds were repaired with flaps secondly when they were debrided thoroughly, failure of 3 cases after neurovascular flap free flap surgery of 41 cases and were performed surgery again with skin flaps in covering the wound, the other flaps survived, wound healed in 39 cases, 2 cases of the second phase after 6 weeks to heal. 41 patients were followed up after 3 months to 2 years, the results were satisfactory, according to lower extremity limb function and other indicators, 16 cases achieved excellent result, 19 cases gained good result, 4 cases were fair and 2 were poor. Excellent and good results were 85%.Conclusions:GustiloⅢ° open fracture of feet and ankle treated by debridement and repair with flap can get satisfying results.
顾加祥，刘宏君，张乃臣，田恒，潘俊博，施小明，张文忠. 足踝部GustiloⅢ°开放性骨折软组织缺损的显微外科治疗[J]. 中华解剖与临床杂志, 2013, 18(2): 126-129.
GU Jia-xiang,LIU Hong-jun,ZHANG Nai-cheng,TIAN Heng,PAN Jun-bo,SHI Xiao-ming,ZHANG Wen-zhong. Microsurgical Treatment of GustiloⅢ° Open Fracture of Feet and Ankle with Soft Tissue Defects. Chinese Journal of Anatomy and Clinics, 2013, 18(2): 126-129.
2013, Vol. 18 
