远距离半径的阻断切除后的长期随访,使用部转位进行重建
Yoshiaki Ogawa1, Hisaki Aiba1, Yohei Kawaguchi1
1Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan.
Case reports in plastic surgery & hand surgery
|December 3, 2025
概括
部转位提供了一个简单的,持久的解决方案,在骨瘤切除后远端半径重建. 这种技术保持了前臂的旋转和功能,在7年的随访中显示出良好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
背景情况:
- 在阻塞骨瘤切除后重建远端半径带来了重大的外科手术挑战.
- 传统方法可能涉及复杂的程序,如血管解剖或自移植收获.
研究的目的:
- 评估转位在远半径重建的长期疗效和结果.
- 介绍一个患有骨复发性巨细胞瘤的患者的案例研究.
主要方法:
- 远半径的复发性巨细胞瘤的整体切除.
- 部转位,保留后部骨间动脉.
- 使用锁定板将转位的肘部固定在手骨和远半径上.
主要成果:
- 在术后9个月成功实现了骨结合.
- 在7年的随访中,手腕运动范围为90°/90° (俯卧/俯仰),握力为19公斤.
- 患者报告日常活动中出现轻微困难 (QuickDASH分数25分).
结论:
- 转位是瘤切除后远距离半径重建的实用和有效的替代方案.
- 该程序证明了手术的简单性,长期耐用性和前臂旋转的保存.
- 这种方法避免了复杂的血管解剖或自移植收获的需要.
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