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为儿科瘤塑性重建进行血管化的支柱状桃体移植:两份病例报告

Alexander F Dagi¹, Nikhil A Gangoli¹, Michael B Amrami¹

¹From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Weill Cornell Medicine/New York-Presbyterian Hospital, New York, NY.

Annals of plastic surgery

|August 6, 2025

概括

在儿科骨髓瘤中血管化骨骨转移 (VFET) 挽救四肢保护了骨生长,但可能导致捐赠地点的脚掉落. 需要进一步的技术来减少VFET的并发症.

科学领域:

整形外科手术整形外科手术
儿科瘤学儿科瘤学
肢体的重建肢体的重建

背景情况:

血管化骨上垂体转移 (VFET) 是用于儿科肢体救援的重建技术.
它旨在保护受影响四肢的生长潜力,这对儿科患者至关重要.

研究的目的:

在骨髓瘤切除后向大腿骨部呈现两例儿科VFET病例.
评估手术技术,功能结果和VFET的并发症.
描述一种具有成本效益的方法来监测骨生长.

主要方法:

在两名患有骨髓瘤的儿科患者 (11岁和5岁) 身上,手术技术用于VFET.
术后连续成像,以评估生长板的活力和生长速度.
在捐赠者和接受者地点评估功能结果和神经血管并发症.

主要成果:

这两种VFET病例都在术后证明了成功的生长板活力.
通过连续成像,每年0.8-1.2厘米的骨生长率得到了证实.
两位患者都在捐赠部位经历了持续的脚下降,需要脚和脚的orthoses.

结论:

VFET可以在骨髓瘤的儿科肢体救援中成功实现骨生长.
捐赠者部位的发病率,特别是脚下垂,仍然是VFET的重要并发症.
需要改进的外科手术技术来缓解捐赠者部位的并发症,并提高功能结果.

关键词:

长腿 (fibula) 长腿 (fibula) 是一个长腿.肢体救援救援肢体救援瘤塑性手术是一项瘤塑性手术.儿科重建儿科重建血管化的体转移.

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