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在创伤后软组织缺陷的重建后,关节功能与软肌和/或胃肌局部肌肉片进行了重建

Matheus Lemos Azi¹, Andrei Ramalho¹, Cloud Sá²

¹Manoel Victorino Hospital, Secretary of Health for the State of Bahia. Conselheiro Almeida Couto square S/N, 40050-410 Salvador, Bahia, Brazil.

|December 24, 2023

概括

当地肌肉板有效地重建腿部软组织缺陷. 虽然预计会有一些脚范围的运动损失,但整体的脚强度和功能在临床上没有受到影响.

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.
生物力学生物力学

背景情况:

当地肌肉片对于软组织缺陷重建有价值.
肌肉转移可以导致功能缺陷.
在片重建后评估功能结果至关重要.

研究的目的:

在腿软组织缺陷重建后评估脚功能,使用局部胃角肌和/或肌片.
为了比较受影响的肢体和对侧肢体之间的功能结果.
为了比较对照组与没有软组织重建的开放骨折的对照组的结果.

主要方法:

追溯队列研究的设计.
功能性评估包括运动范围 (ROM),脚部屈曲强度以及美国整形足和脚学会 (AOFAS) 的脚-后脚分数.
19例病例 (片重建) 和23例对照病例 (开放的骨折) 的比较.

主要成果:

受影响的四肢与未受影响的侧面相比,脚背部屈曲和脚下屈曲ROM显著下降.
在受影响的四肢中,没有发现足部屈曲强度的显著缺陷.
在病例和对照之间没有观察到AOFAS脚后脚得分的显著差异.

结论:

局部肌肉片是重建创伤后腿部软组织缺陷的可行选择.
减少脚ROM是一个预期的结果.
在这种类型的重建后,关节整体力量和功能的临床显著缺陷不太可能发生.

关键词:

骨折,开放的骨折,开放的骨折.下肢的下肢是最重要的.重建性外科手术程序重建性外科手术程序软组织受伤的伤害.手术上使用的片.

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