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长期术后捐赠体部位肌肉骨疾病在骨自由收获后

Tyler G Chan¹, Aaron Rosado¹, Subir Goyal²

¹Emory University School of Medicine Atlanta Georgia USA.

|January 13, 2025

概括

复杂缺陷的骨性自由重建具有可接受的长期捐赠部位病率. 患者接受骨,骨或骨皮皮质辐射前臂 (OCRFF) 收获,应就潜在的功能差异进行咨询.

科学领域:

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
口腔和牙面部外科手术

背景情况:

复杂的上下缺陷往往需要骨自由重建.
常见的捐赠部位包括骨,肩膀和骨质皮质辐射前臂 (OCRFF).
供体选择地点应平衡重建需求与潜在的发病率.

研究的目的:

为了评估骨自由收获后在捐赠者部位的长期肌肉骨疾病.
为了比较不同骨自由捐赠地点的功能结果.

主要方法:

从2015年至2021年,对731名从2015年至2021年接受自由收获的患者进行了回顾性审查.
使用经过验证的骨科调查 (DASH,FAAM) 对术后≥1年的患者进行横截面分析.
包括162名患者 (22.1%) 完成了电话调查.

主要成果:

观察到手术和非手术侧面的功能差异:18.5% (头骨),13.5% (OCRFF) 和10% (脚骨).
手术后的物理治疗,部二侧解剖和骨切除程度与长期发病率无关.
最常见的是急性骨捐赠部位并发症,并与更糟糕的长期功能结果相关 (P=.03).

结论:

长期的肌肉骨疾病在骨自由捐赠地点通常是可以接受的.
患者应获得适当的咨询,以了解潜在的捐赠体位的功能结果.
了解供体部位的发病率对于患者的选择和知情同意至关重要.

关键词:

捐赠者网站捐赠者网站功能状态功能状态肌肉骨疾病肌肉骨疾病有骨质的自由收获收获.人们的生活质量.

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