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带血管腓骨移植重建股骨远端:适应证与手术技术

[Distal femur reconstruction with vascularized fibular graft: indications and surgical technique].

作者信息

Molski M, Wielopolski A, Ozonek W

机构信息

Oddział Ortopedii, Państwowy Szpital Kliniczny Nr 2 im. A. Grucy w Otwocku.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1998;63(4):347-52.

PMID:9857553
Abstract

Indications and surgical technique of distal femur reconstruction with vascularized fibular graft and fibular vessels pedicle are presented. The method is used in femoral metaphyseal defects combined with knee stiffness as safer procedure than free vascularized fibular graft. A case of 23 years old male with vast defect of distal femur after fracture complicated with osteomyelitis is presented. Good result of treatment has been achieved 18 months after surgery despite fracture of previously incorporated fibular graft.

摘要

介绍了带血管蒂腓骨移植及腓血管重建股骨远端的适应症和手术技术。该方法用于股骨干骺端缺损合并膝关节僵硬,比游离血管化腓骨移植更安全。报告了1例23岁男性股骨远端骨折后大面积缺损并合并骨髓炎的病例。尽管先前植入的腓骨移植发生骨折,但术后18个月仍取得了良好的治疗效果。

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