Okyere Isaac, Ativor Vincent, Okyere Perditer
Cardiovascular and Thoracic Surgery Unit, Department of Surgery, School of Medicine and Dentistry, College of Health Sciences , Kwame Nkrumah University of Science and Technology and Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Trauma and Orthopaedic Surgery Unit, Department of Surgery, School of Medicine and Dentistry, College of Health Sciences, Kwame Nkrumah University of Science and Technology and Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Ghana Med J. 2019 Dec;53(4):308-311. doi: 10.4314/gmj.v53i4.10.
There are few reports on lower extremity revascularization because of its high risks of general and local complications as well as poor functional prognosis. However, revascularization of the traumatically amputated lower extremity is a technically feasible surgical undertaking if there can be effective collaboration between the orthopaedic surgeon and the vascular surgeon. Successful outcome is usually judged by functional achievements of the patient toward returning to the preinjury level. Appropriate patient selection significantly increases the potential for obtaining a satisfactory outcome. We report the successful revascularization of a near amputation of the right leg of a young man who was knocked down accidentally by a speeding taxi leading to mangled and near amputation of his right leg. He underwent successful revascularization and currently doing well, one year after the surgery. Successful revascularization is possible if indicated in less resource countries especially if there is an experienced team of vascular and orthopaedic surgeons.
None.
由于下肢血管重建存在较高的全身和局部并发症风险以及功能预后较差,相关报道较少。然而,如果骨科医生和血管外科医生能够有效协作,外伤性截肢下肢的血管重建是一项技术上可行的外科手术。成功的结果通常通过患者恢复到受伤前水平的功能成就来判断。适当的患者选择显著增加了获得满意结果的可能性。我们报告了一名年轻男子右腿近乎截肢的成功血管重建病例,该男子被一辆超速行驶的出租车意外撞倒,导致其右腿严重毁损并近乎截肢。他接受了成功的血管重建手术,术后一年目前情况良好。在资源较少的国家,如果有经验丰富的血管和骨科外科医生团队,进行成功的血管重建是可能的。
无。