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腿部杀伤人员地雷伤的截肢术：采用腓肠肌内侧头肌成形术保留胫骨干残端

Amputation for antipersonnel mine injuries of the leg: preservation of the tibial stump using a medial gastrocnemius myoplasty.

作者信息

Coupland R M

机构信息

British Red Cross Society.

出版信息

Ann R Coll Surg Engl. 1989 Nov;71(6):405-8.

PMID:2604352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2499047/
Abstract

Antipersonnel mines are very commonly used in modern warfare. They produce a recognisable pattern of injury to the leg, which frequently spares the gastrocnemius muscle. Surgical amputation is often indicated. Medial gastrocnemius myoplastic below-knee amputation is suitable for these injuries. The technique permits cover and preservation of an acceptable tibial stump.

摘要

杀伤人员地雷在现代战争中非常常用。它们会造成一种可识别的腿部损伤模式，通常会使腓肠肌幸免。常需进行手术截肢。内侧腓肠肌肌成形术式的膝下截肢适用于这些损伤。该技术能够覆盖并保留一个可接受的胫骨干残端。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/24401e8cb2a8/annrcse01559-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/09ac63215398/annrcse01559-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/35442c64888c/annrcse01559-0075-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/cec3df434516/annrcse01559-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/e0c031f1c2d6/annrcse01559-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/0894083fd326/annrcse01559-0076-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/fa14110f163d/annrcse01559-0076-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/7a7b99f7b9d7/annrcse01559-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/24401e8cb2a8/annrcse01559-0077-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/09ac63215398/annrcse01559-0075-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/35442c64888c/annrcse01559-0075-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/cec3df434516/annrcse01559-0076-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/e0c031f1c2d6/annrcse01559-0076-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/0894083fd326/annrcse01559-0076-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/fa14110f163d/annrcse01559-0076-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/7a7b99f7b9d7/annrcse01559-0077-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7baf/2499047/24401e8cb2a8/annrcse01559-0077-b.jpg

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Amputation for antipersonnel mine injuries of the leg: preservation of the tibial stump using a medial gastrocnemius myoplasty.腿部杀伤人员地雷伤的截肢术：采用腓肠肌内侧头肌成形术保留胫骨干残端
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引用本文的文献

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BMJ Open. 2017 Aug 7;7(7):e014697. doi: 10.1136/bmjopen-2016-014697.
2
Scintigraphic Evaluation of the Stump Region After Extremity Amputation and the Effect of Scintigraphy on Treatment.肢体截肢术后残端区域的闪烁扫描评估及闪烁扫描对治疗的影响。
J Clin Med Res. 2016 Mar;8(3):225-30. doi: 10.14740/jocmr2459w. Epub 2016 Jan 26.
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Antipersonnel mines: who are the victims?杀伤人员地雷：受害者是谁？

本文引用的文献

1
Skew flap myoplastic below-knee amputation: a preliminary report.斜皮瓣肌成形术膝下截肢术：初步报告。
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Early management of battle casualties in Vietnam. An analysis of 1,011 consecutive cases treated at a mobile army surgical hospital.越南战争伤员的早期救治。对一家陆军流动外科医院连续收治的1011例病例的分析。
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Severe open fractures of the tibia: the courage to amputate.胫骨严重开放性骨折：截肢的勇气。
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Antipersonnel mines: the global epidemic.杀伤人员地雷：全球泛滥问题。
Ann R Coll Surg Engl. 1996 Jan;78(1):1-4.
5
Long posteromedial myocutaneous flap below-knee amputation.膝下截肢后长的小腿后内侧肌皮瓣
Ann R Coll Surg Engl. 1995 Mar;77(2):141-4.
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The role of reconstructive surgery in the management of war wounds.重建外科手术在战伤处理中的作用。
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The International Red Cross and Red Crescent Movement.国际红十字与红新月运动
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Injuries from antipersonnel mines: the experience of the International Committee of the Red Cross.杀伤人员地雷造成的伤害：红十字国际委员会的经验
BMJ. 1991 Dec 14;303(6816):1509-12. doi: 10.1136/bmj.303.6816.1509.
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Muscle transposition for treatment and prevention of chronic post-traumatic osteomyelitis of the tibia.
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