采用带血管游离皮瓣植入治疗广泛创伤后桡尺骨融合的病例报告
Release of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition.
作者信息
Malhotra Gopal, Patil Rahul, Al Yassari Ghassan, Ibrahim Emad Salah, Komma Venkata Nageshwara Reddy
机构信息
Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman.
Christine M Kleinert Institute of Hand Surgery, Louisville, USA.
出版信息
Indian J Orthop. 2021 Apr 3;55(Suppl 2):493-500. doi: 10.1007/s43465-021-00395-5. eCollection 2021 Jul.
UNLABELLED
Radioulnar synostosis is a rare complication after a forearm or elbow injury. The severity of initial trauma, associated head injury along with timing and the type of surgical treatment have been implicated in the formation of extra bone leading to synostosis. Surgical intervention is the standard treatment and is recommended after the maturation of synostotic bone. Surgery involves resection of the extra bone with or without tissue interposition. Materials used for interposition may include synthetic materials, allografts, and vascularized and non-vascularized autologous tissue superiority of one material over the other has not been demonstrated. Reported is a case of extensive soft-tissue defect and severe type II synostosis, with a relevant review of the literature. Level IV.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s43465-021-00395-5.
未标注
桡尺骨融合是前臂或肘部损伤后一种罕见的并发症。初始创伤的严重程度、伴发的头部损伤以及手术治疗的时机和类型都与导致融合的额外骨形成有关。手术干预是标准治疗方法，建议在融合骨成熟后进行。手术包括切除额外骨，可选择有或没有组织植入。用于植入的材料可能包括合成材料、同种异体移植物以及带血管和不带血管的自体组织，尚未证明一种材料优于另一种材料。本文报道了一例广泛软组织缺损和严重II型融合的病例，并对相关文献进行了综述。IV级。
补充信息
在线版本包含可在10.1007/s43465-021-00395-5获取的补充材料。
Zotero 插件