Voche P, Merle M
Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, Hôpital Jeanne d'Arc, CHRU Nancy, Dommartin-les-Toul.
Ann Chir Plast Esthet. 1994 Jun;39(3):356-60; discussion 361.
The authors reported three traumatic cases of below-elbow amputation. The proximal squeleton of the forearm was bare-exposed and the replantation was not done due to the mechanism of the injury. To preserve the function of the elbow joint which the main components were safe, the soft tissue coverage was realized by a musculocutaneous latissimus dorsi free flap in each case. A body-powered forearm prosthesis was adapted for the three patients who were able to return to an adapted job in an average time of 8 months. The importance of the preservation of the elbow joint to improve the function in upper limb amputees is discussed.
作者报告了3例肘部以下截肢的创伤病例。由于损伤机制，前臂近端骨骼暴露在外，未进行再植手术。为保留主要结构安全的肘关节功能，每例均采用背阔肌肌皮游离皮瓣进行软组织覆盖。为这3例患者适配了体动力前臂假肢，他们平均在8个月后能够重返适合的工作岗位。文中讨论了保留肘关节对改善上肢截肢者功能的重要性。
