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双侧肱骨截断性上肢离断后采用交叉再植作为挽救性手术:病例报告。

Crossover replantation as a salvage procedure following bilateral transhumeral upper limb amputation: a case report.

机构信息

IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, Gaziosmanpasa Hospital, Istanbul, Turkey.

出版信息

Arch Orthop Trauma Surg. 2011 Apr;131(4):567-72. doi: 10.1007/s00402-010-1217-x. Epub 2010 Dec 15.

Abstract

Cross-over replantation is a salvage option for cases with bilateral extremity amputations where the wound conditions do not enable an orthotopic replantation. Here, we present a 24-year-old patient who applied to our center with bilateral transhumeral amputations. Due to the wound conditions, a cross-over replantation was performed. 24 months after the initial operation, the patient exhibits good protective sensation at the distal levels and function to some degree, whereas the active range of motion is not as promising as previously expected. In this article, we present this case together with its immediate and long-term outcomes and the consequences of the cross-over replantation.

摘要

交叉再植是一种挽救性选择,适用于双侧肢体截肢的病例,这些病例的伤口情况不适合原位再植。在这里,我们介绍了一位 24 岁的患者,他因双侧肱骨截肢来到我们中心。由于伤口情况,进行了交叉再植。在最初手术后的 24 个月,患者在远端表现出良好的保护感觉和一定程度的功能,而主动活动范围并不像之前预期的那样有希望。在本文中,我们介绍了这个病例及其即刻和长期结果以及交叉再植的后果。

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