股内侧滑车瓣重建：临床结果与展望。
Medial femoral trochlea flap reconstruction: Clinical outcomes and perspectives.
机构信息
Hand, Wrist & Peripheral Nerve Surgery, Division of Plastic & Reconstructive Surgery, Oakville Trafalgar Memorial Hospital, 2525 Old Bronte Road, Suite 560, Oakville, ON, L6M 4J2, Canada.
Holy Cross Orthopedic Institute, Holy Cross Hospital, 5597 N Dixie Highway, Fort Lauderdale, FL 33334, Florida.
出版信息
J Plast Reconstr Aesthet Surg. 2021 Sep;74(9):1991-1998. doi: 10.1016/j.bjps.2020.12.063. Epub 2020 Dec 27.
INTRODUCTION
We report our experience with use of the medial femoral trochlea (MFT) osteochondral flap for carpal applications.
METHODS
Outcomes of all patients treated with MFT flaps were reviewed. Healing, range of motion, grip strength, carpal alignment, pain, and complication data were collected.
RESULTS
MFT flaps were performed on seven patients with a mean age of 26.1 (range, 17-42) years. Indications included scaphoid proximal pole nonunion (n = 3), Kienböck's disease (n = 3), and Preiser's disease (n = 1). The mean follow-up was 32.3 (range, 5-70) months. Union was achieved in five patients at a mean of 12 (range 6-22) weeks. All five patients had increased grip strength and absence of pain at follow-up. There were two failures due to graft resorption.
CONCLUSIONS
The MFT osteochondral flap is a technically challenging yet powerful tool to replace the loss of both carpal articular cartilage and adjacent bone.
简介
我们报告了使用内侧股骨滑车（MFT）骨软骨瓣进行腕关节应用的经验。
方法
回顾了所有接受 MFT 皮瓣治疗的患者的结果。收集了愈合、活动范围、握力、腕骨对线、疼痛和并发症数据。
结果
MFT 皮瓣在 7 名平均年龄为 26.1 岁（范围 17-42 岁）的患者中进行。适应证包括舟状骨近极骨不连（n=3）、月骨无菌性坏死（n=3）和 Preiser 病（n=1）。平均随访时间为 32.3 个月（范围 5-70 个月）。5 例患者在 12 周（范围 6-22 周）内达到愈合。所有 5 例患者在随访时均增加了握力，且无疼痛。有 2 例因移植物吸收而失败。
结论
MFT 骨软骨瓣是一种技术上具有挑战性但功能强大的工具，可替代腕关节关节软骨和相邻骨的丧失。
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