动态重建使用配件内化脚拉蒂西姆斯背部片用于上梯形肌缺陷的动态重建
Masaki Fujioka1,2, Kazufumi Koga1
1From the Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.
Plastic and reconstructive surgery. Global open
|April 18, 2024
概括
这项研究详细介绍了一种新的技术,用于在癌症切除后重建梯形肌. 一个带有辅助神经转移的斜背恢复了肩膀功能,证明了复杂的重建性手术的有希望的方法.
科学领域:
- 整形外科 整形外科 整形外科
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
背景情况:
- 梯形肌缺陷显著影响肩膀和手臂的运动.
- 肌纤维肉瘤切除可能需要进行广泛的肌肉切除,这会带来重建性挑战.
研究的目的:
- 报告第一个动态梯形肌肉重建的案例,使用内化斜背肌肌皮.
- 评估这种重建技术的功能结果.
主要方法:
- 一名74岁的女性患者患有复发性肌纤维肉瘤,接受了上梯形肌的广泛瘤切除.
- 重建是使用脚踏拉提西木斯背部板进行的,并对胸脊神经和辅助神经进行神经转移.
- 手术后的功能评估包括表面电肌图.
主要成果:
- 患者实现了良好的运动功能,在手术后四个月后能够抬起肩膀.
- 表面电肌图显示了与未受影响侧面相比的运动潜力.
- 斜背提供了梯形肌的动态重建.
结论:
- 肌皮转移 (myocutaneous flap transfer) 是一种可行且有效的方法,用于动态重建梯形肌.
- 这种技术提供了一个有前途的解决方案,以恢复肩膀功能后,由于恶性瘤广泛的梯形切除.
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