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用于下颌骨重建的腓骨移植术后胫骨骨折：一种罕见的并发症，病例报告。

Fracture of the tibia after a fibula graft for mandibular reconstruction: A rare complication, report of a case.

作者信息

Goey Ru-Shan, van Drunen Bert, van der Linden Enrike, van Merkesteyn J P Richard

机构信息

Department of Oral and Maxillofacial Surgery Leiden University Medical Centre Leiden The Netherlands.

Department of Plastic Surgery Leiden University Medical Centre Leiden The Netherlands.

出版信息

Clin Case Rep. 2021 May 24;9(5):e03987. doi: 10.1002/ccr3.3987. eCollection 2021 May.

DOI:10.1002/ccr3.3987
PMID:34084479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8142795/
Abstract

A tibia fracture after a fibula harvest is a rare and serious condition; however, when treated adequately, it has a good outcome. The possibility of a fracture should be kept in mind and other pathology and/or metastasis should be ruled out.

摘要

腓骨取骨后发生胫骨骨折是一种罕见且严重的情况；然而，若得到充分治疗，其预后良好。应牢记骨折的可能性，并排除其他病理情况和/或转移瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/8a38282e9b39/CCR3-9-e03987-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/35d70908f15f/CCR3-9-e03987-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/175cd07dda50/CCR3-9-e03987-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/3d12422bf4f8/CCR3-9-e03987-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/f99b0addc58a/CCR3-9-e03987-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/d808c6f89776/CCR3-9-e03987-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/29911df455fb/CCR3-9-e03987-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/8a38282e9b39/CCR3-9-e03987-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/35d70908f15f/CCR3-9-e03987-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/175cd07dda50/CCR3-9-e03987-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/3d12422bf4f8/CCR3-9-e03987-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/f99b0addc58a/CCR3-9-e03987-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/d808c6f89776/CCR3-9-e03987-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/29911df455fb/CCR3-9-e03987-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/8142795/8a38282e9b39/CCR3-9-e03987-g008.jpg

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本文引用的文献

1
Tibial Stress Fractures in Athletes.运动员的胫骨应力性骨折
Orthop Clin North Am. 2016 Oct;47(4):733-41. doi: 10.1016/j.ocl.2016.05.015.
2
Minimizing free flap donor-site morbidity.将游离皮瓣供区并发症降至最低。
Curr Opin Otolaryngol Head Neck Surg. 2016 Oct;24(5):447-52. doi: 10.1097/MOO.0000000000000286.
3
Distal tibial fractures are a poorly recognised complication with fibula free flaps.胫骨远端骨折是游离腓骨瓣一种鲜为人知的并发症。
Ann R Coll Surg Engl. 2015 Sep;97(6):409-13. doi: 10.1308/003588415X14181254790086. Epub 2015 Aug 14.
4
Risk Factors for Early and Late Donor-Site Morbidity After Free Fibula Flap Harvest.游离腓骨瓣切取术后早期和晚期供区并发症的危险因素
J Oral Maxillofac Surg. 2015 Aug;73(8):1637-40. doi: 10.1016/j.joms.2015.01.036. Epub 2015 Feb 11.
5
What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery.游离腓骨瓣需要付出什么代价？游离腓骨瓣手术后供区并发症的系统评价。
Plast Reconstr Surg. 2012 Mar;129(3):657-674. doi: 10.1097/PRS.0b013e3182402d9a.
6
A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients.前瞻性队列研究 157 例腓骨游离皮瓣供区并发症。
Plast Reconstr Surg. 2011 Sep;128(3):714-720. doi: 10.1097/PRS.0b013e318221dc2a.
7
Donor site morbidity after microvascular fibula transfer.微血管腓骨移植后的供区并发症
Clin Oral Investig. 2001 Dec;5(4):214-9. doi: 10.1007/s00784-001-0140-5.
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Epidemiology and site specificity of stress fractures.应力性骨折的流行病学及部位特异性
Clin Sports Med. 1997 Apr;16(2):179-96. doi: 10.1016/s0278-5919(05)70016-8.
9
Leg morbidity and function following fibular free flap harvest.腓骨游离皮瓣切取后的下肢发病率及功能
Ann Plast Surg. 1997 May;38(5):460-4. doi: 10.1097/00000637-199705000-00005.
10
Fibula free flap mandibular reconstruction.游离腓骨瓣下颌骨重建术。
Clin Plast Surg. 1994 Jan;21(1):25-35.