逆外侧动脉用于下肢重建:对成功和失败模式的多中心回顾性分析
Saleh Abualhaj1,2,3, Mosleh M Abualhaj4, Mohd Said Dawod5
1General Surgery Department, Faculty of Medicine, Al-Balqa Applied University, P.O. Box 19117, Al-Salt, Jordan. Saleh.abualhaj@bau.edu.jo.
概括
反向外侧动脉 (RSAF) 在下肢重建方面取得了很高的成功,在脚和下腿缺陷方面具有很好的长期耐用性. 脚跟重建需要更密切的监测,因为生存率较低.
科学领域:
- 整形外科 整形外科 整形外科
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
背景情况:
- 反向外侧动脉 (RSAF) 是一个有价值的技术,用于下肢软组织的重建.
- 有限的多中心数据存在于RSAF生存结果和特定地点的性能.
研究的目的:
- 为了评估逆外侧动脉 (RSAF) 在远端下肢重建中的生存结果和解剖部位特异性表现.
- 在多中心环境中确定影响RSAF结果的因素.
主要方法:
- 追溯的多中心病例系列,包括60名因远端下肢缺陷而接受RSAF治疗的患者 (2015-2024).
- 收集关于人口统计,缺陷特征,手术技术和结果的数据.
- 卡普兰-梅尔生存分析和根据缺陷位置进行子组比较.
主要成果:
- 整体RSAF生存率为96.7%,平均愈合时间为21.5天.
- 静脉堵塞发生在83.3%的患者中,10%的患者导致了部分亡.
- 诸如BMI,吸烟,板宽度,脚长度和手术时间等因素影响了结果.
- 60个月后,脚和下腿RSAF的生存率为100%,跟脚的生存率为70.8%.
结论:
- RSAF是下肢重建的非常成功和可靠的选择,特别是在资源有限的环境中.
- 解剖部位,片设计和患者因素显著影响结果.
- 脚和下腿的重建显示出良好的长期耐用性;脚跟的重建需要更密切的跟进.
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