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題名 | Small Part Heel Pad Replantation--One Case Report=小範圍足跟墊重植:個案報告 |
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作者姓名(中文) | 李宗瀚; 許文明; 楊振; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷期 | 9:4 2000.12[民89.12] |
頁次 | 頁269-273 |
分類號 | 416.41 |
關鍵詞 | 足跟墊重植; 斷端出血點; 靜脈移植; Heel replantation; Blood stain point; Vein transfer; |
語文 | 英文(English) |
中文摘要 | 過去有關足跟墊重植手術的報告很少,多半是由於斷端無合適血管、靜脈回流不良以及手術後出血等問題。吾人報告一名三歲半幼童接受足跟墊重植手術,小動脈透過斷端出血點及小血塊找到並予修補,採用靜脈移植來配合流的位置及方向。另外,兩條祿分枝也同時修補。術後,無明顯出血也不必輸血。經長期追蹤,病人可使用全腳走路,在生長及感覺方面均與一般無異。吾人認為對兒童斷肢傷應盡可能予以積極的治療。 |
英文摘要 | Heel pad replantation is very rarely performed due to difficulties associated with a lack of available vessels in the amputee, insufficiency in the venous return, and massive bleeding after the operation. We report a case of successful heel pad replantation in a 3.5-year-old boy. The arteriole was identified, dissected via a blood stain point, and directly repaired. A vein was transferred from the dorsum of the foot to establish the back flow of the venule. Two nerve branches were repaired at the same time. No transfusion was required due to mininal blood loss. With long-term follow up, he can walk on the whole foot and has experienced normal growth, as well as good touch and pressure sensations. We believe that if a limb amputation occurred in a child it should be treated aggressively. |
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