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带蒂血管化腓骨移植术以血流通过方式重建感染性胫骨骨不连并保留腓动脉:1例病例报告

Pedicled vascularised fibular grafting in a flow-through manner for reconstruction of infected non-union of the tibia with preservation of the peroneal artery: a case report.

作者信息

Hattori Yasunori, Doi Kazuteru, Sakamoto Soutetsu, Satbhai Nilesh, Kumar Kannan Karuppiah

机构信息

Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yamaguchi, Japan.

出版信息

J Orthop Surg (Hong Kong). 2015 Apr;23(1):111-5. doi: 10.1177/230949901502300125.

Abstract

We report on an 82-year-old man with an infected non-union of the right tibia in which the peroneal artery was the sole artery supplying the lower leg, owing to peripheral arterial disease. He underwent tibial reconstruction using the pedicled vascularised fibular graft in a flow-through manner (without ligation of either the proximal or distal ends of the peroneal artery) and achieved successful bony union.

摘要

我们报告了一名82岁男性,其右胫骨存在感染性骨不连,由于外周动脉疾病,腓动脉是供应小腿的唯一动脉。他接受了带蒂血管化腓骨移植的胫骨重建手术,采用血流通过的方式(不结扎腓动脉的近端或远端),并成功实现了骨愈合。

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