免费的功能性肌肉转移用于下肢重建
David Chi1, Shreya Raman2, Kenan Tawaklna1
1Division of Plastic and Reconstructive Surgery, Washington University Medical Center, Saint Louis, MO, USA.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|October 5, 2023
概括
自由功能肌肉转移在受伤或切除后有效地恢复下肢功能,提供了可行的重建选择. 需要进一步的临床结局研究来巩固其在患者行走中的作用.
科学领域:
- 整形外科手术 整形外科手术
- 重建性微手术是重建性的微手术.
- 下肢的重建 下肢的重建
背景情况:
- 自由功能肌肉转移是下肢缺陷的关键重建技术.
- 它解决了因瘤切除,创伤,隔间综合征或神经损伤造成的肌肉损失.
- 在某些特定情况下,这种程序可能是唯一可行的选择.
研究的目的:
- 审查下肢自由功能肌肉转移的原则,应用和技术.
- 讨论各种功能缺陷的供体肌肉选择.
- 介绍当前的临床结果和患者选择标准.
主要方法:
- 审查基础原则和外科手术技术.
- 讨论用于特定缺陷的常用捐赠肌肉.
- 分析最近的出版物和关于下肢自由功能肌肉转移的案例系列.
主要成果:
- 实现了良好的功能恢复,医学研究理事会评分高达4/5和全范围的运动.
- 从已发表的病例系列中提出了临床结果和参数.
- 包括一个说明性的案例例子.
结论:
- 自由功能性肌肉转移是适合患者的合适治疗方法,可恢复功能并可能进行行走.
- 进一步的研究和发表的临床结果对于更广泛的应用至关重要.
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