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用血管化骨板对脚的功能性重建

Fatih Zor, Yalcin Bayram¹, Yalcin Kulahci

¹From the Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey.

Annals of plastic surgery

|July 5, 2023

概括

自由的长肢板有效地重建了脚,恢复了骨的完整性和功能. 这种血管化的组织转移为复杂的足部缺陷提供了持久,令人满意的结果.

科学领域:

整形外科手术整形外科手术
重建性手术是一种重建性手术.
微手术微手术是一种微手术.

背景情况:

脚的骨完整性对于功能至关重要,除了软组织覆盖之外.
复合脚缺陷带来了重大的重建挑战.
恢复足的解剖学对于步态和稳定性至关重要.

研究的目的:

为了评估自由关节片用于重建脚的有效性.
评估门重建后的功能和美容结果.
为了确定这种重建技术的耐用性和并发症概况.

主要方法:

三名患有复合足部缺陷的患者使用血管化关节片进行了重建.
免费的长肢被用来重建横向的 (2个案例) 和纵向的 (1个案例) 脚.
在术后12个月使用3D运动分析评估了功能性结果.

主要成果:

所有患者都对化品和功能结果表示高度满意.
没有观察到早期或晚期并发症.
3D运动分析表明可接受的步态能力,表明门成功恢复.

结论:

骨质皮质自由关节片为脚提供了功能性和持久的足弓重建.
这种技术在需要保持脚的长度或宽度时尤为有益.
自由关节是复杂的足部重建需要骨恢复的可靠选择.

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