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因压力性损伤需行股骨近端切除术后缺损的闭合

Closure of defects from pressure sores requiring proximal femoral resection.

作者信息

Klein N E, Luster S, Green S, Moore T, Capen D

机构信息

Plastic and Reconstructive Surgery Service, Rancho Los Amigos Medical Center, Downey, CA 90242.

出版信息

Ann Plast Surg. 1988 Sep;21(3):246-50. doi: 10.1097/00000637-198809000-00010.

DOI:10.1097/00000637-198809000-00010
PMID:3223704
Abstract

Proximal femoral resection (i.e., modified Girdlestone procedure) is often required in the paraplegic with an infection or dislocation of the hip joint. A philosophy and technique for dealing with this difficult problem are presented. The technique involves using an external osseous fixator to stabilize the femur and allow healing of the flap used to fill the defect.

摘要

对于髋关节感染或脱位的截瘫患者,通常需要进行股骨近端切除术(即改良的吉尔德斯通手术)。本文介绍了处理这一难题的理念和技术。该技术包括使用外骨骼固定器来稳定股骨,并使用于填充缺损的皮瓣得以愈合。

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引用本文的文献

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Vastus Lateralis and Vastus Intermedius Myocutaneous Flap Reconstruction for Complicated Trochanteric and Ischial Pressure Sores with Extended Girdlestone Resection: A Case Series.股外侧肌和股中间肌肌皮瓣重建复杂转子部和坐骨压力性溃疡伴广泛 Girdlestone 切除术:病例系列。
Orthop Surg. 2023 Oct;15(10):2612-2620. doi: 10.1111/os.13846. Epub 2023 Aug 24.
2
Proximal femoral resection and Tensor Fascia Lata flap for recalcitrant trochanteric pressure ulcers.股骨近端切除术及阔筋膜张肌皮瓣治疗顽固性转子压疮。
Spinal Cord Ser Cases. 2019 Feb 5;5:15. doi: 10.1038/s41394-019-0157-0. eCollection 2019.
3
Sepsis of the hip due to pressure sore in spinal cord injured patients: advocacy for a one-stage surgical procedure.
脊髓损伤患者因压疮导致的髋部脓毒症:支持一期手术治疗
Spinal Cord. 2015 Mar;53(3):226-231. doi: 10.1038/sc.2014.170. Epub 2014 Nov 4.