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find Keyword "组织重建" 3 results
  • PROGRESS IN SOFT TISSUE RECONSTRUCTION OF ADULT-ACQUIRED FLATFOOT DEFORMITY

    Objective To review the progress in clinical and biomechanical study on soft tissue reconstruction of adult-acquired flatfoot deformity (AAFD). Methods The recent original articles of soft tissue repair and tendon transfer for AAFD were extensively reviewed. Results The soft tissue procedures for AAFD can be divided into two components: static restoration of medial column stability and dynamic reconstruction of the posterior tibial tendon. The most important static structure to be repaired for AAFD is the spring ligament. On the other hand, various methods can be used for dynamic reconstruction. The flexor digitorum longus transfer is widely used, but results of biomechanical studies do not support the advantage of this method. For patients having normal function of the posterior tibial muscle, the Cobb procedure may be more suitable. Conclusion The soft tissue reconstruction procedures of AAFD should be chosen individually based on the stage and type of the deformity.

    Release date:2016-08-31 04:21 Export PDF Favorites Scan
  • SOFT TISSUE RECONSTRUCTION AFTER RESECTION OF MUSCULOSKELETAL TUMORS

    Objective To evaluate the effectiveness of soft tissue reconstruction after resection of musculoskeletal tumor and to discuss the strategy of soft tissue reconstruction. Methods Between June 2003 and December 2010, 90 patients with musculoskeletal tumor underwent tumor resection and soft tissue reconstruction. There were 59 males and 31 females with a median age of 37.2 years (range, 9-85 years), including 52 bone tumors and 38 soft tissue tumors. One stage reconstruction of soft tissue was performed after tumor resection in 75 cases; reconstruction of soft tissue was performed after debridement in 7 cases of wound dehiscence; and two stage reconstruction of soft tissue was performed after debridement and vacuum sealing drainage placement in 8 cases of infected wounds. The gastrocnemiums flap was used in 40 cases, the latissimus dorsi myocutaneous flap in 6 cases, rectus abdominis myocutaneous flap in 4 cases, gluteus maximus musculocutaneous flap in 1 case, pectoralis major muscle flap in 1 case, cross-abdominal flap in 1 case, local transfer flap in 27 cases, pedicled flaps in 5 cases, and skin grafts in 5 cases. The size of the flap ranged from 6.5 cm × 4.5 cm to 21.0 cm × 9.0 cm. Results Eighty-seven flaps survived, and incisions healed by first intention in 81 cases. In 6 cases of healing by second intention, 2 had partial flap necrosis, which was cured by dressing change; 3 had delayed healing; 1 had mild infection, which was cured after conservative treatment. Wound of donor site healed primarily, and the grafted skin survived. Seventy-three patients were followed up 10-102 months (mean, 36.1 months). Local tumor recurrence was observed in 6 patients, who received second resection at 2-27 months (mean, 8.2 months) after operation. Thirteen patients dead of primary disease at 6-34 months (mean, 19.2 months) after operation. Conclusion The defects caused by resection of musculoskeletal tumor require soft tissue reconstructions. Optimal reconstruction can enhance wound closure, decrease incidence of wound complication, preserve limb function.

    Release date:2016-08-31 04:24 Export PDF Favorites Scan
  • 耳后瓣联合多瓣修复颞部恶性肿瘤大缺损一例

    目的总结1例应用耳后瓣联合多瓣修复右颞部恶性肿瘤组织大缺损的效果。 方法2016年1月收治1例右颞部肿物男性患者,75岁;肿物大小约为4 cm×4 cm。术中病理示鳞状细胞癌。术中行扩大切除术、面神经解剖术,肿物切除后组织缺损范围为8 cm×8 cm。于缺损部邻近组织设计制备耳后瓣、鼻唇沟瓣、颊瓣、颈胸皮瓣,大小分别约为4 cm×3 cm、4 cm×2 cm、4 cm×3 cm、8 cm×4 cm,联合修复创面。 结果术后皮瓣血运良好,均成活,供受区创面均Ⅰ期愈合。术后1个月内因皮瓣张力过大,右口角向上偏移;外眦受牵拉外移,致右眼裂变小。术后3个月随访,右侧口角位置基本恢复正常,眼周稍肿胀,眼裂稍小,皮瓣色泽、质地均良好。术后4个月面部外形对称,表情自然协调正常,患者满意。 结论耳后瓣联合多瓣修复颞部组织大缺损效果良好,手术方法较简便,尤其适合老年患者。

    Release date:2016-10-21 06:36 Export PDF Favorites Scan
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