Department of Surgery, Division of Orthopaedic Surgery, Jacobi Medical Center, Bronx, NY, USA.
J Orthop Trauma. 2012 Mar;26(3):e24-8. doi: 10.1097/BOT.0b013e31821a06b0.
This case report describes the reimplantation of a 15-cm osteoarticular segment of the distal tibia in a 14-year-old girl who was hit by a truck. The bone fragment was debrided and reimplanted on the day of injury. A free flap was performed within 1 week. Bony union was achieved without complication. At 5-year follow-up, the patient is able to ambulate for several hours at a time without an assistive device, although arthritis of the ankle joint is present. She scores 43.8 on the physical component of the 36-Item Short Form Health Survey and 49.0 on the mental component. The patient states that she is very pleased with her outcome. This seems to be the first description of an osteoarticular segment reimplantation of a long bone in the orthopaedic literature.
本病例报告描述了一名 14 岁女孩被卡车撞击后，重新植入 15 厘米长的胫骨远端骨关节段的情况。骨碎片在受伤当天进行清创和再植入。1 周内进行游离皮瓣移植。无并发症发生，实现了骨性愈合。5 年随访时，患者无需辅助设备即可连续行走数小时，尽管踝关节存在关节炎。她在 36 项简短健康调查问卷的身体成分部分得分为 43.8，心理成分部分得分为 49.0。患者表示对自己的结果非常满意。这似乎是骨科文献中首次描述长骨骨关节段再植入的病例。
