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在复杂的下肢损伤中使用逆斜横腿来挽救四肢:一系列病例
Babak Toloue Ghamari1, Saber Barazandeh Rad1, Mehrdad Sadighi1
1Department of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of clinical orthopaedics and trauma
|August 21, 2025
概括
在复杂的下肢损伤中, 逆动脉横腿提供了一个可靠的解决方案, 特别是在资源有限的环境中. 在所有被评估的患者中,该技术成功重建了缺陷并实现了肢体结合.
科学领域:
- 骨科手术
- 整形外科
- 血管外科
背景情况:
- 复杂的下肢损伤带来了重大的重建挑战.
- 免费的组织转移是标准的, 但反向的外侧横腿是一个可行的替代方案.
- 这种技术在资源有限的环境或受损的船只中是有用的.
研究的目的:
- 评估逆斜横腿在肢体救援中的有用性.
- 评估下肢复杂损伤和血管损伤的患者的结果.
- 在具有挑战性的重建场景中突出显示的有效性.
主要方法:
- 六名男性患者受到了复杂的下肢损伤,
- 板是基于外侧动脉的; 外部固定器用于固定.
- 根据生命力和新血管化的情况,在3-4周后发生了膜分离.
主要成果:
- 所有六名患者都在8至14个月内恢复了四肢骨折.
- 两个病例出现了膜堵塞,但没有报告膜故障.
- 骨后面的动脉保持完整, 确保足部的血液供应.
结论:
- 在复杂的损伤中,特别是血管损伤时,逆侧动脉横腿是多用途的.
- 优点包括简单性,可靠性和良好的覆盖范围,适用于资源有限的设置.
- 需要仔细考虑潜在的缺点,例如塞和捐赠部位的病态性.
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