为关节脱节缺陷同时进行微血管重建的假肢:回顾系列
Nugdeep Uppal1, Omar Breik1, James Higginson1
1Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Birmingham, B15 2TH UK.
Journal of maxillofacial and oral surgery
|December 2, 2024
概括
在头部和部手术中,假体状骨重建提供了良好的功能结果,特别是当与骨自由重建相结合时. 在非恶性病例中并发症被最大限度地减少,并且有足够的上升骨支持.
科学领域:
- 头部和部手术 头部和部手术
- 重建性手术是一种重建性手术.
- 口腔和牙面部外科手术
背景情况:
- 部脱节缺陷带来了重大的重建性挑战.
- 自生性重建是黄金标准,但假体状头在复杂的情况下提供了替代方案.
- 评估假肢状头的结果对于优化患者治疗至关重要.
研究的目的:
- 在下缺陷中评估假肢状头部重建的功能结果和并发症率.
- 确定影响假肢状骨重建成功的因素,在一个大体积的中心.
主要方法:
- 对25名接受关节缺陷假体重建的患者 (2008-2019) 的回顾性分析.
- 对患者人口统计,诊断,手术技术 (包括自由重建) 和随访数据的审查.
- 分析与假肢相关的并发症和功能结果 (闭塞,口服).
主要成果:
- 在25名患者中进行了假体状骨重建,其中23人接受了免费重建.
- 6名患者 (所有恶性病例) 出现并发症,4名由于感染或穿孔而被切除的假肢.
- 在非恶性病例和同时出现上升性骨髓重建的病例中,观察到较低的并发症率.
- 总体而言,他们取得了良好的功能结果,包括平衡的闭塞和口服.
结论:
- 假肢状体重建是有效的,特别是当与骨自由和上升骨重建相结合时.
- 在切除关节盘或预计存在大死空间的情况下,避免使用假肢.
- 仔细关注闭塞和垂直支是成功功能结果的关键.
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