Samra Salem, Samra Asaad H, Netscher David T
Baylor College of Medicine, Baylor College of Medicine, Houston, TX, USA.
Ann Plast Surg. 2006 Nov;57(5):569-72. doi: 10.1097/01.sap.0000237574.40897.7f.
A child presented at birth with a threatened lower limb from severe constriction band. Limb salvage was performed by emergency z-plasty reconstructions and subsequent sural nerve grafting to a fibrotic segmental deficit in the sciatic nerve. Follow-up over a 6-year period enables us to provide a favorable outlook with regard to functional use of the extremity and absence of chronic lymphedema, but she does have a significant limb length discrepancy. There is virtually no information on long-term functional outcome of such cases, although textbook teaching advises one to attempt emergency salvage of an extremity that is threatened by a severely constricting congenital amniotic band. Follow-up of our patient equips us with outcome information so that we can now better inform parents when once again faced with this problem in the neonate.
一名出生时因严重束带而面临下肢威胁的儿童。通过紧急Z形皮瓣重建和随后将腓肠神经移植到坐骨神经纤维化节段性缺损处来进行肢体挽救。6年的随访使我们能够对该肢体的功能使用情况以及无慢性淋巴水肿的情况给出乐观的展望，但她确实存在明显的肢体长度差异。实际上，关于此类病例的长期功能结果几乎没有信息，尽管教科书教导人们应尝试紧急挽救受严重先天性羊膜带束缚威胁的肢体。对我们这位患者的随访为我们提供了结果信息，这样当再次面对新生儿出现这个问题时，我们现在就能更好地告知家长。
