应用背阔肌转位术重建老年患者股四头肌功能：病例报告。
Reconstruction of Quadriceps Muscle Function Using the Latissimus Dorsi Muscle Transfer in an Elderly Patient: A Case Report.
机构信息
Division of Plastic Surgery, Mayo Clinic, Jacksonville, Florida.
Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, Florida.
出版信息
JBJS Case Connect. 2020 Dec 4;10(4):e20.00255. doi: 10.2106/JBJS.CC.20.00255.
CASE
We report a case of a 71-year-old man diagnosed with high-grade undifferentiated pleomorphic sarcoma in the left thigh. He underwent partial resection of the quadriceps and proximal femoral bone, followed by reconstruction with a latissimus dorsi free muscle flap through end-to-end vascular and nerve anastomosis with the femoral vessels and a branch of the femoral nerve, respectively. Recovery of 3/5 knee extension function was achieved 3 months postsurgery without complications.
CONCLUSION
Free neurotized latissimus dorsi muscle transfer is a successful reconstructive option to restore knee extension after quadriceps resection.
LEVEL OF EVIDENCE
Level IV.
病例报告
我们报告了 1 例 71 岁男性，左大腿高级别未分化多形性肉瘤。患者接受了股四头肌和股骨近端部分切除术，随后通过股血管和股神经的分支端端血管和神经吻合，用背阔肌游离肌皮瓣进行重建。术后 3 个月，膝关节伸展功能恢复至 3/5，无并发症。
结论
游离神经化背阔肌转移是股四头肌切除后恢复膝关节伸展的一种成功的重建选择。
证据等级
IV 级。
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