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游离腓骨移植延长术用于重建残留腿长差异。

Lengthening of free fibular grafts for reconstruction of the residual leg length discrepancy.

作者信息

Zhang Xianghong, Zhang Tingting, Liu Tang, Li Zhihong, Zhang Xiangsheng

机构信息

Department of Orthopedics, The Second Xiangya Hospital of Central South University, 139# Middle Renmin Road, Changsha, Hunan, 410011, People's Republic of China.

Department of Orthopedics, Liuzhou General Hospital, Guangxi University of Science and Technology, Liuzhou, 545006, Guangxi, China.

出版信息

BMC Musculoskelet Disord. 2019 Feb 8;20(1):66. doi: 10.1186/s12891-019-2445-z.

DOI:10.1186/s12891-019-2445-z
PMID:30736769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6368813/
Abstract

BACKGROUND

We evaluated our results of lengthening of free vascularized fibular grafts using a unilateral external fixator in patients with residual leg length discrepancy after free vascularized fibular graft for lower limb reconstruction.

CASES PRESENTATION

Two patients were administrated to our hospital with residual tibial length discrepancy after vascularized free fibular graft surgery. Lengthening of the free vascularized fibular graft with a unilateral external fixator was performed to correct the leg length discrepancy. Both patients recovered well with no difficult in activities of daily living at the last follow-up.

CONCLUSIONS

This study shows that lengthening of free vascularized fibular grafts with an external fixator is an effective treatment for massive residual leg shortening after vascularized free fibular graft surgery.

摘要

背景

我们评估了在接受游离血管化腓骨移植进行下肢重建后仍存在腿长差异的患者中，使用单侧外固定器延长游离血管化腓骨移植的结果。

病例介绍

两名患者因游离血管化腓骨移植术后胫骨长度仍有差异而入住我院。采用单侧外固定器延长游离血管化腓骨移植以纠正腿长差异。两名患者恢复良好，末次随访时日常生活活动无困难。

结论

本研究表明，使用外固定器延长游离血管化腓骨移植是治疗游离血管化腓骨移植术后大量残留腿短的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/b8dabddd6b7a/12891_2019_2445_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/c993b287a1ec/12891_2019_2445_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/c5cec0b243f8/12891_2019_2445_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/f42669e921ef/12891_2019_2445_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/b8dabddd6b7a/12891_2019_2445_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/c993b287a1ec/12891_2019_2445_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/c5cec0b243f8/12891_2019_2445_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/f42669e921ef/12891_2019_2445_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf57/6368813/b8dabddd6b7a/12891_2019_2445_Fig4_HTML.jpg

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Clin Orthop Relat Res. 2017 May;475(5):1322-1337. doi: 10.1007/s11999-016-5196-2. Epub 2016 Dec 19.
3
A Comparison of Vascularized Free Fibular Flaps and Nonvascularized Fibular Grafts for Reconstruction of Long Bone Defects after Tumor Resection.
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J Reconstr Microsurg. 2017 Mar;33(3):194-205. doi: 10.1055/s-0036-1594299. Epub 2016 Dec 15.
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Infected forearm nonunion treated by bone transport after debridement.清创后骨搬运治疗感染性前臂骨不连。
BMC Musculoskelet Disord. 2013 Sep 22;14:273. doi: 10.1186/1471-2474-14-273.
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