Chiang Y C, Wei F C, Chen L M
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Plast Reconstr Surg. 1993 Apr;91(4):729-33. doi: 10.1097/00006534-199304000-00029.
A case of sharp, complete amputation of the heel with successful replantation is presented. The bones, periosteum, tendons, and neurovascular bundle were repaired. Seventeen months after injury, both motor and sensory recovery were satisfactory. The objective study of gait analysis also revealed an essentially normal gait pattern of the injured foot. These results suggest that in a suitable candidate, the procedure of choice for amputation of the heel is microsurgical replantation.
本文报告一例足跟锐器完全离断并成功再植的病例。修复了骨骼、骨膜、肌腱和神经血管束。伤后17个月,运动和感觉恢复均令人满意。步态分析的客观研究也显示伤足步态模式基本正常。这些结果表明,对于合适的患者,足跟离断的首选治疗方法是显微外科再植。