Friedrich Schiller University Jena, Department of Traumatology, Hand and Reconstructive Surgery, D-07740 Jena, Germany.
J Orthop Trauma. 2010 Feb;24(2):e1-5. doi: 10.1097/BOT.0b013e3181b1df3c.
The case reported here describes early posttraumatic rotationplasty after severe degloving of the entire soft tissue sleeve from the left hemipelvis to the knee in an 80-year-old man who was knocked off his bicycle by a truck. During his treatment and rehabilitation, we observed severe complications (cerebrovascular accident, pneumonia, and spondylodiscitis). At the 2-year follow up, bony union of the rotationplasty osteotomy site was seen. The Enneking score was 10 points. The patient stated satisfaction with the outcome. At the last follow up, he was able to move around the house using his prosthesis and a walker and reported that he had been getting better at independent walking in the last 60 months, but for longer distances, he was still using a wheelchair.
本病例报告描述了一位 80 岁男性，被卡车从自行车上撞倒后，其左半骨盆至膝关节的整个软组织套严重脱套伤，伤后早期行旋转成形术。在治疗和康复过程中，我们观察到严重的并发症（脑血管意外、肺炎和脊椎骨髓炎）。2 年随访时，旋转成形术截骨处可见骨性愈合。恩内金评分 10 分。患者对结果表示满意。末次随访时，患者可以使用假肢和助行器在房子周围移动，并报告说在过去的 60 个月里，他在独立行走方面越来越好，但对于较长的距离，他仍然使用轮椅。
