脚下脚缺陷的重建与自由的超薄的前侧大腿片
Yavuz Tuluy1, Merve Özkaya Ünsal2, Zülfükar Ulaş Bali3
1Department of Plastic Reconstructive and Aesthetic Surgery, Turgutlu State Hospital, Manisa, Turkey.
ANZ journal of surgery
|January 4, 2024
概括
超薄的前侧大腿 (ALT) 板对于重建足底缺陷是有效的,提供良好的组织兼容性并保持承重能力. 长期结果显示,患者满意度高,功能恢复良好.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 整形外科手术 整形外科手术
背景情况:
- 足底缺陷重建需要组织兼容性和保存的承重功能.
- 自由组织转移是复杂脚部重建的常见方法.
- 超薄的前侧大腿 (ALT) 片为这种重建提供了潜在的优势.
研究的目的:
- 通过使用超薄的ALT片来评估脚部脚部重建的长期结果.
- 评估接受此手术的患者的功能恢复,美学满意度和并发症率.
主要方法:
- 以超薄的ALT板重建的11名脚下足部缺陷患者的回顾性评估.
- 术后结果的评估,包括,鞋履磨损,恢复活动,下肢功能量表 (LEFS) 评分和美容满意度.
- 平均叶片厚度为4.9毫米 (范围为3-6毫米),随访时间为16至59个月.
主要成果:
- 没有骨缺陷,除了手环和远端四足. 软组织缺陷被重建.
- 一个需要移植的部分死,一个需要脱皮手术,以及两个表面的病变是保守地管理的.
- 患者对化品结果的高满意度 (VAS平均值为8/10) 和形轮.
- 在LEFS分数 (32.03至58.7,P<0.01) 和平均在2.5个月后返回工作/学校的显著改善.
结论:
- 超薄的ALT片为脚下脚的重建提供了合适的轮和减少缩.
- 这些片有助于适当拉紧,这对于承重区域至关重要.
- 这项研究表明了有利的长期功能和美学结果,支持使用超薄的ALT在足部脚部重建中的使用.
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