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[目前用于覆盖四肢缺损的重建措施]

[Current reconstructive measures for the covering of defects in the extremities].

作者信息

Anderl H, Hussl H, Papp C, Bauer M

出版信息

Chirurg. 1982 Apr;53(4):235-40.

PMID:7044717
Abstract

Large defects of soft tissue and bone in the lower extremity are still a great surgical problem with regard to morbidity and preservation of the leg. Conventional operative procedures such as cross leg or pedical flap are frequently not sufficient to guarantee successful treatment. Local muscle flap, myocutaneous flap and free-tissue transfer with microvascular anastomoses are excellent surgical supplements for better and quicker treatment, as they can generally be performed in one operative step. Strict indication and a specially trained operating team are essential for successful treatment in these more risky procedures. The new techniques and applications are demonstrated on various cases.

摘要

下肢软组织和骨骼的大面积缺损在发病率和腿部保全方面仍然是一个重大的外科问题。传统的手术方法,如交腿皮瓣或带蒂皮瓣,往往不足以确保治疗成功。局部肌皮瓣、肌皮瓣和带微血管吻合的游离组织移植是更好、更快治疗的优秀外科补充方法,因为它们通常可以在一个手术步骤中完成。严格的适应症和经过专门训练的手术团队对于这些风险较高的手术的成功治疗至关重要。新技术及其应用在各种病例中得到了展示。

相似文献

1
[Current reconstructive measures for the covering of defects in the extremities].[目前用于覆盖四肢缺损的重建措施]
Chirurg. 1982 Apr;53(4):235-40.
2
Changes in donor site selection in lower limb free flap reconstructions.下肢游离皮瓣重建中供区选择的变化。
Microsurgery. 1996;17(7):380-5. doi: 10.1002/(SICI)1098-2752(1996)17:7<380::AID-MICR7>3.0.CO;2-K.
3
[Microvascular transplantation of osteocutaneous flaps (combined free tissue transfer)].骨皮瓣微血管移植(联合游离组织移植)
Chirurg. 1985 Dec;56(12):761-7.
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[Application of free flaps in combined transplantation].[游离皮瓣在联合移植中的应用]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Jul;19(7):508-10.
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[Muscle flap transfer of the treatment of infected tibial and malleolar fractures and chronic osteomyelitis of the tibia].[肌肉瓣转移治疗感染性胫腓骨骨折及胫骨慢性骨髓炎]
Acta Chir Orthop Traumatol Cech. 2007 Jun;74(3):162-70.
6
[Treatment of substance loss of the bones of the leg in traumatology by transfer of the free vascularized iliac crest. Apropos of 13 cases].[创伤学中通过游离带血管蒂髂嵴转移治疗腿部骨质缺损。附13例报告]
Rev Chir Orthop Reparatrice Appar Mot. 1998 May;84(3):264-71.
7
[Preserving the length of amputation stumps by microvascular flap transfer of the lower extremity].[通过下肢微血管皮瓣转移术保留截肢残端长度]
Aktuelle Traumatol. 1994 Oct;24(6):218-21.
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Vascularized iliac osteomuscular free flaps for composite soft tissue and bone defects of the lower extremity.带血管蒂游离髂骨肌皮瓣修复下肢复合软组织和骨缺损
Ann Plast Surg. 2009 Jul;63(1):53-8. doi: 10.1097/SAP.0b013e31818572bc.
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Resurfacing exposed bone of the lower leg using muscle flap transposition.采用肌瓣转移术修复小腿外露骨。
Clin Plast Surg. 1980 Oct;7(4):511-23.
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[Pedicle flap transfer combined with external fixator to treat leg open fracture with soft tissue defect].带蒂皮瓣转移联合外固定架治疗小腿开放性骨折伴软组织缺损
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008 Aug;22(8):956-8.

引用本文的文献

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[The fibula-pro-tibia operation--indications, results].
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