基于带血管腓骨的骺板转移术用于小儿肱骨近端重建。
Vascularized fibula-based physis transfer for pediatric proximal humerus reconstruction.
机构信息
Durham, N.C.; and Philadelphia, Pa. From the Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Department of Surgery, and the Department of Orthopaedics, Duke University Medical Center; and the Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania.
出版信息
Plast Reconstr Surg. 2013 Aug;132(2):281e-287e. doi: 10.1097/PRS.0b013e31829589fb.
UNLABELLED
Free vascularized fibular transfer has become a standard procedure in upper extremity reconstruction after resection of osteogenic tumors. The authors present two rare pediatric cases of high-grade osteosarcoma resection of the proximal humerus. A free vascularized fibula autograft including the physis based on the anterior tibial artery and vein was used for reconstruction in a delayed (case 1) and immediate (case 2) approach. The main focus of the article is to describe the surgical technique, which is also presented in a series of intraoperative videos.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
未加标签
游离腓骨移植已成为切除成骨性肿瘤后上肢重建的标准手术。作者报告了两例罕见的儿童肱骨近端高级别骨肉瘤切除病例。游离腓骨骨皮瓣（基于胫前动静脉）移植被用于延迟（病例 1）和即刻（病例 2）重建。文章的主要重点是描述手术技术，同时也展示了一系列术中视频。
临床问题/证据水平：治疗，V 级。
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