Novaković M, Panajotović L, Kozarski J, Kosutić M, Stepić N
Klinika za plasticnu hirurgiju i opekotine, Vojnomedicinska akademija, Beograd.
Acta Chir Iugosl. 2001;48(1):37-40.
The most complications in patients after the reconstruction of the bone defect of the upper extremities are the fractures of the bone graft and pseudoarthrosis on one of the graft suture with defects of humerus. These complications influence on the primary efficiency of the reconstruction and prolong the recovery period. We registered five fractures, four pseudoarthrosis and two graft angulations in the prospective study on 25 patients where the defect of humerus, radius and ulna was compensated by the vascularized fibular graft. The analysis showed four fractures on the distal part of the reconstructed humerus graft and three pseudoarthrosis on the proximal part of reconstructed ulna. All osteogenic complications, apart from angulations which did not require additional interventions were solved by spongyoplasty according to Phemisters and more efficient postoperative immobilization.
上肢骨缺损重建术后患者最常见的并发症是骨移植骨折以及肱骨缺损处移植骨缝线处的假关节形成。这些并发症影响重建的初始效果并延长恢复期。在一项针对25例患者的前瞻性研究中，我们记录到5例骨折、4例假关节形成以及2例移植骨成角，这些患者的肱骨、桡骨和尺骨缺损通过带血管蒂腓骨移植进行修复。分析显示，重建肱骨移植骨远端有4例骨折，重建尺骨近端有3例假关节形成。除了无需额外干预的成角外，所有骨生成并发症均根据费米斯特方法进行松质骨成形术并加强术后固定来解决。
