化学体前侧侧大腿-巨大的后侧自由带螺旋皮肤岛用于功能四头四肢重建
Beniamino Brunetti1,2, Marco Morelli Coppola1,2, Riccardo De Bernardis1
1Operative Research Unit of Plastic, Reconstructive and Aesthetic Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Journal of hand and microsurgery
|January 16, 2025
概括
这项研究引入了一种新的虚构的前侧侧大腿侧面 (ALT-VL) 自由,用于大腿软组织肉瘤重建. 这种技术为复杂的大腿缺陷提供了可行的选择,需要功能性肌肉转移和皮肤复苏.
科学领域:
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
- 整形外科 整形外科 整形外科
背景情况:
- 腿部软组织肉瘤往往需要进行广泛的切除,导致显著的功能缺陷.
- 隔间切除术后的重建通常需要自由功能肌肉转移 (FFMT).
研究的目的:
- 描述一种新的重建方法,使用一个模拟螺旋的前侧大腿横侧 (ALT-VL) 自由.
- 评估这项技术在患有大腿软组织肉瘤的患者中的疗效和结果.
主要方法:
- 来自罗马的 Fondazione Policlinico Universitario Campus Bio-Medico 的前性维护数据 (2018-2023) 的回顾性审查.
- 对八名接受四头骨重建的患者进行了分析,这些患者使用功能性仿真ALT-VL自由用于大腿软组织肉瘤.
- 详细报告板特征,接收器/神经,缺陷大小,操作时间和并发症.
主要成果:
- 八名患者成功地通过功能性仿真ALT-VL进行了重建.
- 患者平均年龄为68岁,平均缺陷大小为204.26厘米2.
- 三名患者出现了轻微的并发症 (血清瘤,边缘皮肤亡);一名患者因感染了血清瘤而需要修复手术. 发现了一个局部复发.
结论:
- 具有螺旋皮肤岛的自由功能化ALT-VL是一个有价值的重建选项.
- 这种技术特别适用于复杂的前腿缺陷,具有功能障碍和显著的皮肤缺陷.
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