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组合的自由板,以实现最佳的形下肢重建:一个回顾系列
Pietro G di Summa1, Gianluca Sapino1, Daniel Wagner2
1Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), 1011 Lausanne, Switzerland.
Medicina (Kaunas, Lithuania)
|May 27, 2023
概括
这项研究表明,将一个自由的中间膜 (FMC) 与第二个自由膜相结合,成功地重建下肢骨和软组织缺陷,在所有情况下实现骨结合. 这种骨质整形方法对于复杂的创伤和感染是有效的,最大限度地减少并发症.
科学领域:
- 整形外科的整形外科手术.
- 微手术 微手术是一种微手术.
- 肢体的重建 肢体的重建
背景情况:
- 开放的下肢骨折往往涉及严重的骨和软组织损伤,造成重建挑战,并冒着非联合的风险.
- 有骨或骨周损失的缺陷需要专门的技术来成功挽救四肢.
研究的目的:
- 为了分析下肢缺陷的骨质整形重建的双自由方法的结果.
- 为了评估使用免费中介膜 (FMC) 片用于骨缺陷的有效性,与第二个片用于软组织覆盖相结合.
主要方法:
- 从2018年1月到2022年1月,对7名从2018年1月到2022年1月进行双微手术重建的患者进行了回顾性分析.
- 纳入标准:使用FMC骨/骨周片和第二只皮肤片用于远部第三下肢缺陷,至少6个月的随访.
主要成果:
- 包括7名患者 (14个自由;平均年龄49岁). 四名患者是吸烟者;没有人患有糖尿病.
- 缺陷病因包括急性创伤 (4) 和败血性非结合 (3).
- 没有发生重大并发症;所有的片成功地愈合,骨完全结合.
结论:
- 结合一个FMC骨/周骨和第二个自由的皮肤,在所有复杂的下肢重建中实现骨结合,即使有危害的血管化或感染.
- FMC 片对小到中等骨缺陷具有很低的捐赠部位发病率具有多样性.
- 双式策略通过量身定制的覆盖范围和改进的插入自由度,提高了整形术的成功率.
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