从碎片到稳定性:一个反向穿孔扇子,为绝对的肘部覆盖提供了创伤后的七十年. 一个案例报告
Alvise Montanari1, Cesare Tiengo1, Alfio Luca Costa2
1Plastic Surgery Unit, Department of Neuroscience, University of Padua, Padua 35121, Italy.
Military medicine
|February 12, 2026
概括
战争时期的弹片伤害可能会导致终身肘部并发症. 积极的手术,包括脱bridement和重建,成功治疗慢性骨髓炎和的老年患者.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 整形外科 整形外科 整形外科
背景情况:
- 童年二战时的弹片伤害导致了肘部骨折和部神经损伤.
- 几十年后,该患者患上了慢性骨髓炎,并出现了反复出现的骨头瘤和痕不稳定.
研究的目的:
- 详细介绍战争时期复杂的弹片伤害的终身管理.
- 为慢性肘部骨髓炎和软组织缺陷提供成功的手术重建.
主要方法:
- 用抗生素进行初始的保守管理,用脂填充进行痕修复.
- 手术干预包括管切除术,广泛的骨除,以及用反流穿孔进行软组织重建.
主要成果:
- 慢性和骨髓炎在五年随访期间成功愈合,没有复发.
- 反流穿孔器片为具有挑战性的肘部区域提供了可靠的,单阶段的重建选择.
结论:
- 战时创伤的慢性并发症可以在患者的整个生命中表现出来.
- 为了长期管理,需要一种结合激进脱bridement和强大的软组织重建的最终手术方法.
- 脚片为老年患者提供可行的解决方案,这些老年患者患有需要肘部重建的并发症.
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