在双边断裂的初级修复失败后,骨肌重建:一个案例报告
Martin Husen1,2, Aaron J Krych1, Keshav Poudel1
1Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota.
JBJS case connector
|January 19, 2024
概括
本案例研究突出了阿基里斯肌全移植重建的双边骨肌重裂. 这种方法在初始修复故障后恢复功能时被证明是有效的.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 再生医学是一种再生医学.
背景情况:
- 双边急性皮带肌破裂 (PTR) 是一种罕见且严重的损伤.
- 初始手术修复PTR可能会失败,需要修复手术.
- 由于组织质量受到损害,PTR的修复手术存在挑战.
研究的目的:
- 在初始穿骨修复后,报告双边骨重裂的病例.
- 评估阿基里斯肌全移植的疗效,用于修复骨肌重建.
- 评估长期结果,包括运动范围,力量和并发症率.
主要方法:
- 一名29岁的双边PTR男性患者接受了初始双边横骨修复.
- 患者在手术后10周经历了双边复发.
- 用阿基里斯肌全移植进行了分阶段的双边骨肌重建.
主要成果:
- 患者在3年的随访中获得了全方位的运动和腿部力量.
- 在全移植重建后,没有观察到再爆发或其他并发症.
- 阿基里斯肌整形移植在修复设置中促进了成功的肌重建.
结论:
- 阿基里斯肌全移植是一种可行的和有效的选择,用于修复病例中的状肌重建.
- 这种技术可以恢复功能,并预防低质量的本地肌组织患者的进一步并发症.
- 成功的结果支持在复杂的骨肌损伤中使用全移植.
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