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[Reconstructive surgery of knee para-articular amputation stumps].

作者信息

Steinau H U, Germann G, Büttemeyer R, Hussmann J, Hebebrand D

机构信息

Klinik für Plastische Chirurgie und Schwerbrandverletzte, BG-Kliniken Bergmannsheil Bochum, Universitätsklinik.

出版信息

Unfallchirurgie. 1993 Oct;19(5):272-7. doi: 10.1007/BF02588121.

DOI:10.1007/BF02588121
PMID:8273256
Abstract

Reconstructive plastic procedures in primary care and in postprimary/secondary treatment following below knee and above knee amputation are discussed. Short amputation stumps and stumps suffering from insufficient soft tissue coverage should be primarily avoided employing salvage replantation techniques. Secondarily conventional flaps and grafts, tissue expansion and/or microsurgical free tissue transfer all serve for achieving stable skin conditions and preserve adequate stump lengths. Interdisciplinary treatment racionale will lead to improvement of functional and social rehabilitation.

摘要

相似文献

1
[Reconstructive surgery of knee para-articular amputation stumps].
Unfallchirurgie. 1993 Oct;19(5):272-7. doi: 10.1007/BF02588121.
2
[Shortening osteotomy of the femur after knee joint exarticulation].[膝关节离断术后股骨缩短截骨术]
Unfallchirurg. 1994 Dec;97(12):652-4.
3
Calcaneal fillet flap: a new osteocutaneous free tissue transfer for emergency salvage of traumatic below-knee amputation stumps.跟腱肌皮瓣:一种用于创伤性膝下截肢残端紧急挽救的新型带骨皮瓣游离组织移植。
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Salvage of major amputation stumps of the lower extremity with latissimus dorsi free flaps.采用背阔肌游离皮瓣挽救下肢大截肢残端。
Scand J Plast Reconstr Surg Hand Surg. 2002;36(2):85-90. doi: 10.1080/028443102753575220.
5
Free fillet foot flap for salvage of below-knee amputation stump.游离腓肠肌肌瓣用于挽救膝下截肢残端。
Chin J Traumatol. 2008 Dec;11(6):380-4. doi: 10.1016/s1008-1275(08)60077-2.
6
Emergency free flap cover in complex injuries of the lower extremities.
Scand J Plast Reconstr Surg Hand Surg. 1996 Mar;30(1):37-47. doi: 10.3109/02844319609072403.
7
A new classification of vascularized flaps in plastic and reconstructive surgery.
Ann Plast Surg. 1993 Jul;31(1):47-52; discussion 52-3.
8
Leg length preservation with pedicled fillet of foot flaps after traumatic amputations.创伤性截肢后采用带蒂足部鱼际皮瓣保留肢体长度
Plast Reconstr Surg. 2005 Feb;115(2):498-505. doi: 10.1097/01.prs.0000149482.96729.11.
9
The role of microvascular free flaps in salvaging below-knee amputation stumps: a review of 22 cases.游离微血管皮瓣在挽救膝下截肢残端中的作用:22例病例回顾
J Trauma. 1991 Apr;31(4):495-500; discussion 500-1. doi: 10.1097/00005373-199104000-00008.
10
[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]
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引用本文的文献

1
Patient satisfaction after lower limb replantation surgery for traumatic amputation - a qualitative study.创伤性截肢后下肢再植手术的患者满意度——一项定性研究。
BMC Musculoskelet Disord. 2024 Jan 2;25(1):15. doi: 10.1186/s12891-023-07076-4.
2
[Stump retention and extension on the lower extremity].
Chirurg. 2007 Apr;78(4):308-15. doi: 10.1007/s00104-007-1313-9.

本文引用的文献

1
Partial replantation after traumatic proximal lower limb amputation: a one-stage reconstruction with free osteocutaneous transfer from the amputated limb.创伤性下肢近端截肢后的部分再植:利用截肢肢体的游离骨皮瓣进行一期重建。
Plast Reconstr Surg. 1993 Mar;91(3):537-40. doi: 10.1097/00006534-199303000-00023.
2
Salvage replantation of lower limb amputations.下肢截肢的挽救性再植
Plast Reconstr Surg. 1982 Jan;69(1):1-8.
3
A 50-cm fillet flap for preservation of maximal lower extremity residual limb length.一块用于保留最大下肢残肢长度的50厘米鱼肉状皮瓣。
Clin Orthop Relat Res. 1983 Sep(178):216-9.
4
Amputation through the lower thigh with removal of the adductor and hamstring muscles. An alternative to hip joint disarticulation in certain cases of malignant soft-tissue tumor.
Clin Orthop Relat Res. 1971 Oct;80:133-8.
5
Amputation alternatives in the lower limb, stressing combined management of the traumatized extremity.下肢截肢替代方案,着重于创伤肢体的联合管理。
Clin Plast Surg. 1986 Oct;13(4):595-618.
6
Total cutaneous harvesting from an amputated foot--two free flaps used for acute reconstruction.从截肢足部进行全皮瓣切取——使用两个游离皮瓣进行急性重建。
Br J Plast Surg. 1987 May;40(3):313-6. doi: 10.1016/0007-1226(87)90131-7.
7
Amputation salvage with microvascular free flap from the amputated extremity.采用来自截肢肢体的游离微血管皮瓣进行截肢残端挽救。
J Trauma. 1987 Mar;27(3):326-9. doi: 10.1097/00005373-198703000-00020.
8
Soft-tissue expansion in the lower extremities.下肢软组织扩张术
Plast Reconstr Surg. 1988 Feb;81(2):208-19. doi: 10.1097/00006534-198802000-00012.
9
Salvage of amputation stumps by secondary reconstruction utilizing microsurgical free-tissue transfer.
Plast Reconstr Surg. 1987 Jun;79(6):861-70. doi: 10.1097/00006534-198706000-00001.
10
[Possibilities of plastic surgical reconstruction in limb-sparing resection of malignant soft tissue tumors of the extremities].[肢体恶性软组织肿瘤保肢切除术中整形手术重建的可能性]
Chirurg. 1985 Nov;56(11):741-5.