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创伤后远骨的血管化阴茎顶重建:技术笔记和长期后续
Pierluigi Tos1, Davide Ciclamini2, Alessandro Crosio3
1Department of Hand Surgery and Reconstructive Microsurgery, ASST Gaetano Pini-CTO Milan, Piazza Cardinale Ferrari 1, 20122, Milan, Italy.
Journal of hand and microsurgery
|January 8, 2026
概括
免费的血管化沟顶板有效地重建严重的侧面骨缺陷,提供稳定的脚恢复和持久的功能. 这种方法为传统治疗方法失败的复杂病例提供了可靠的选择.
科学领域:
- 整形外科手术 整形外科手术
- 微手术 微手术是一种微手术.
- 重建性手术是一种重建性手术.
背景情况:
- 大规模的创伤后侧骨缺陷带来了重大的重建挑战,特别是在骨损失或感染时.
- 对于复杂的缺陷,传统的方法,如移植或骨移植可能不足.
- 血管化的骨片提供了更好的结果,但很少被报告为远端骨重建.
研究的目的:
- 为了评估自由血管化的阴茎顶板在重建广泛的侧面状缺陷时的有效性.
- 评估这种重建技术的长期临床和放射性结果.
主要方法:
- 三名患有严重的创伤后侧状形缺陷的患者使用自由血管化的阴茎片进行了重建.
- 板是基于深度环腹动脉,配置适应缺陷需求.
- 手术技术和结果在8-14年内进行了评估.
主要成果:
- 所有的板都在没有重大并发症的情况下存活下来,实现了一致的骨结合.
- 患者恢复了完全的承重能力和稳定的脚功能.
- 长期随访显示轻度,无症状的骨关节炎;软组织覆盖率可靠.
结论:
- 免费的血管化的阴茎顶部板是广泛的侧面状缺陷的可靠和多功能选择.
- 这种技术提供了稳定的脚恢复,可预测的联合和持久的功能.
- 当传统方法不足时,它是一个合适的替代方案,特别是在创伤后或感染的情况下.
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