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下肢重建手术中的阿基里斯肌片:多功能性,实用性和以患者为中心的结果

Meher Vartanian¹, Niayesh Najafi¹, Devendra K Agrawal¹

¹Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California 91766, USA.

Journal of orthopaedics and sports medicine

|December 3, 2025

概括

阿基里斯肌重建为运动员和糖尿病患者提供了多功能解决方案. 成功取决于仔细选择患者和术后护理,而不仅仅是使用的技术.

科学领域:

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.
运动医学运动医学

背景情况:

阿基里斯肌缺陷带来了重大的重建挑战.
运动,并发性疾病,创伤和糖尿病患者群体具有独特的需求.

研究的目的:

评估基于阿基里斯肌的片和重建.
在各种情况下评估了多功能性,临床效用和患者结果.

主要方法:

对223项PubMed研究 (2015-2025) 的系统审查.
包括48项研究 (RCT,队列,病例系列) 进行定性综合.
提取了关于设计,人口,干预,后续和结果的数据.

主要成果:

运动员/创伤队伍:腿筋自移植,FHL移植,V-Y整形改善功能 (70-80%的运动回归),<5%的复发.
糖尿病/救援队伍:区域片 (sural,peroneus brevis) 提供了覆盖;自由片使复合重建 (80-90%的肢体救援) 成为可能.
并发症各不相同:静脉堵塞 (sural flaps),感染 (>20%的糖尿病患者).

结论:

阿基里斯肌重建可以适应各种环境,恢复功能并保存四肢.
患者选择和术后优化对于成功至关重要.
未来的研究需要多中心试验,生活质量和成本效益数据.

关键词:

阿基里斯肌重建的重建复杂化管理复杂化管理翻盖的重建翻盖的重建胃半径转向向下的门肢体的保护肢体的保护在手术后进行卸载.软组织覆盖面覆盖软组织.倾向转移的倾向转移在V-Y塑料化中.血管评估的评估.

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