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本文引用的文献

1
Tibia-hindfoot turn-up rotationplasty in uncontrollable infection after total femoral resection: Report of two cases.全股骨切除术后不可控制感染中行胫后足上翻旋转成形术：2例报告
J Orthop Sci. 2020 Nov;25(6):1123-1126. doi: 10.1016/j.jos.2018.03.013. Epub 2018 Apr 23.
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Transplantation of the tibia and fibula to replace the femur following resection; turn-up-plasty of the leg.
J Bone Joint Surg Am. 1948 Oct;30A(4):854-8.
3
Reconstruction after external hemipelvectomy using tibia-hindfoot rotationplasty with calcaneo-sacral fixation.使用带跟骨-骶骨固定的胫骨-后足旋转成形术进行半骨盆切除术重建术。
Int Semin Surg Oncol. 2008 Jan 21;5:1. doi: 10.1186/1477-7800-5-1.
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Tibial turn-up for long distal femoral bone loss.胫骨上翻治疗股骨远端长节段骨缺损。
Clin Orthop Relat Res. 2001 Feb(383):214-20. doi: 10.1097/00003086-200102000-00025.
5
Tibia-hindfoot osteomusculocutaneous rotationplasty with calcaneopelvic arthrodesis for extensive loss of bone from the proximal part of the femur. A report of two cases.采用跟骨骨盆关节固定术的胫骨-后足骨肌肉皮瓣旋转成形术治疗股骨近端广泛骨质缺损：两例报告
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Below knee stump reconstruction by turn-up technique. Report of 2 cases.
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Popliteal Neurovascular Bundle Medialization and Axial Flap Rotation to Avoid Bone Impingement in Tibial Turn-up Plasty: A Case Report.

作者信息

Medellin Rincon Manuel Ricardo, Gomez-Ricaurte Oscar Fernando, Riveros-Riveros Hermann Alfredo, Sambri Andrea

机构信息

Departmento de Cirurgia Ortopédica, Grupo Bogotano de Ortopedia y Sarcomas, Bogotá, Colômbia.

Departmento de Cirurgia Ortopédica, IRCCS Azienda Ospedaliera Universitaria di Bologna, Bolonha, Itália.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 May 23;59(Suppl 2):e163-e167. doi: 10.1055/s-0044-1779308. eCollection 2024 Nov.

DOI:10.1055/s-0044-1779308
PMID:39735456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679619/
Abstract

A 33-year-old male patient developed distal femur chronic osteomyelitis with massive bone loss after an open grade-3b fracture. Following several failed treatments to eradicate infection, a tibial turn-up procedure was performed to provide a stable and functional stump. To avoid neurovascular problems, the popliteal vessels and sciatic nerve were moved medially, and the flap was rotated externally to decrease the collapse. The progression after surgery was satisfactory, no vascular or neurological claudication was observed, and the patient has been able to wear an external prosthesis after flap healing. Tibial turn-up plasty is a rarely described reconstructive technique capable of providing longer stumps. The releasing and medialization of popliteal vessels, with axial rotation of the flap, may prevent the development of neurovascular impingement.

摘要