目的：评价游离腓骨皮瓣修复前臂复合组织缺损的疗效。方法 对1998 年 6 月－ 2014年 6 月， 应用游离腓骨皮瓣修复前臂复合组织缺损 9 例。创面范围 7 cm × 6 cm ～ 22 cm × 17 cm。伴有桡骨或尺骨节段性缺损长度 6 ～ 12 cm。切取腓骨皮瓣范围 10 cm × 8 cm ～ 17 cm ×13 cm，腓骨长度 8 ～ 14cm。 结果 术后 1 例发生静脉危象， 经及时探查重新吻合静脉后存活，其余皮瓣全部成活。随访时间 0.5 ～ 5 年，平均 1 年 9 个月。移植骨愈合时间 2 ～ 6 个月。结论游离腓骨皮瓣移植同期修复前臂复合组织缺损是较理想的治疗方法^[1]。

　　 Abstract Objective Utilizing fibula composite tissue flap by free transplantation to the repair of forearm bone and soft tissue serous defect. Methods Nine case of repairing forearm bone and soft tissue serous defect through transplantation of free fibula composite tissue petal were applied from June 1998 to June 2014.The area of forearm bone and soft tissue serious defect was 7cm*6cm----------22cm*17cm.Meanwhile the length of segmental defect of ulna or radius was 6cm------12cm.The flap area was 10cm*8cm-------17cm*13cm.The length of transplanted fibula was 8cm*14cm.Result:After the surgical operation,1 of 9 cases of fibula composite tissue flap occurred Venous crisis.without delay, Venous Vessel had been anastomosed again. The fibula composite tissue flap was survived The other all were survived.Follow-up time was 0.5year----5years.The average follow—up time was 21 months.Heading by first intention was 2-6 months.Conclusion Transplantation of free fibula composite tissue flap to the repair of forearm bone and soft tissue serous defect is an ideal surgical repair method.