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背阔肌-肋骨肌皮瓣重建Chopart截肢残端

Reconstruction of Chopart's Amputation Stump with the Osteomusculocutaneous Latissimus Dorsi-Rib Flap.

作者信息

Trung Vo Thai, Nha Truong Minh, Bay Hoang Van

机构信息

Department of Orthopaedic and Reconstruction, Binh Duong General Hospital, Binh Duong, Vietnam.

出版信息

Plast Reconstr Surg Glob Open. 2022 Jul 15;10(7):e4422. doi: 10.1097/GOX.0000000000004422. eCollection 2022 Jul.

DOI:10.1097/GOX.0000000000004422
PMID:35923985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9287272/
Abstract

We present an original technique for reconstruction of the right forefoot after Chopart's amputation. The case report was of a 20-year-old man who was a nonsmoker without comorbidities. He was referred to our department because of equinus deformity, pain, and prominence of the cuboid under the skin, leading to chronic ulceration at the stump. We performed flow through free latissimus dorsi flap including the eighth and tenth ribs to reconstruct the stump. Results were assessed at 18 months after operation, showing good stability and normal functional outcome of the foot. The patient is satisfied with the results achieved.

摘要

我们介绍一种用于Chopart截肢术后右前足重建的原创技术。病例报告为一名20岁男性,不吸烟,无合并症。因马蹄足畸形、疼痛以及骰骨在皮下突出导致残端慢性溃疡,他被转诊至我们科室。我们采用包含第八和第十肋骨的游离背阔肌穿支皮瓣来重建残端。术后18个月对结果进行评估,显示足部稳定性良好且功能正常。患者对所取得的结果感到满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/442bcebf1829/gox-10-e4422-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/8f734ca86249/gox-10-e4422-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/b42fdde0b4d2/gox-10-e4422-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/442bcebf1829/gox-10-e4422-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/8f734ca86249/gox-10-e4422-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/b42fdde0b4d2/gox-10-e4422-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d011/9287272/442bcebf1829/gox-10-e4422-g003.jpg

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本文引用的文献

1
Ankle dorsiflexion arthrodesis to salvage Chopart's amputation with anterior skin insufficiency.踝关节背屈融合术治疗伴有前侧皮肤不足的 Ch arpot 截肢。
Foot Ankle Int. 2013 Nov;34(11):1560-8. doi: 10.1177/1071100713495380. Epub 2013 Jun 18.
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The "flap-shaft" prosthesis for insensate feet with Chopart or Lisfranc amputations.用于Chopart或Lisfranc截肢后感觉缺失足部的“皮瓣轴”假体。
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部分糖尿病足截肢术后负压伤口治疗:一项多中心随机对照试验
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