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題 名 | Functional Restoration of Gunshot Injury of the Forearm: A Case Report=前臂槍傷的功能重建:一病例報告 |
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作 者 | 邱泰豐; 周聰鐸; 陳錫根; 陳紹良; 鄭天宇; 陳天牧; 王先震; | 書刊名 | 醫學研究 |
卷 期 | 20:5 2000.04[民89.04] |
頁 次 | 頁245-251 |
分類號 | 416.615 |
關鍵詞 | 槍傷; 前臂; Gunshot injury; Forearm; |
語 文 | 英文(English) |
中文摘要 | 上肢的重建首重功能的恢復,而高速槍傷所致的損傷常包含多種組織的缺損,往往無法靠一次的重建手術即能恢復至最佳功能。在此,我們提出一個右前臂遭槍傷的病例,因合併有廣泛性軟組織缺損、多條伸肌腱斷裂及尺骨節段性缺損;經過多次分階段重建手術,包括:擴創術、皮瓣覆蓋、肌腱轉移,鋼板螺釘內固定及自體骨骼移植。術後,病人前臂的旋前、旋後左拇指及手腕功能和握力均恢復至可接受的程度。 因此,我們認為以階段性多次手術治療前臂複雜性槍傷是一個不錯的方法。 |
英文摘要 | Gunshot injury of forearm with bone and soft tissue defects often require multiple stages in reconstruction to restore maximum function. We report a patient who sustained a gunshot injury, involving his right forearm with extensive soft tissue loss, multiple extensor tendon avulsions and segmental ulna bone defect. Four procedures are used in the treatment, including adequate debridement, sound coverage, tendon transfer, internal fixation with plate, screws and bone graft. After sequential reconstructive forearm surgery, good restorations of hand function were achieved. We believe that sequential surgeries offer one of the best method of reconstruction in this severely injured case. |
本系統中英文摘要資訊取自各篇刊載內容。