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.
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.
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。
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