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題名 | "Double-Barreled" Free Vascularized Fibular Graft Used in Treating Large Defect of Femoral Shaft=以"雙截式"游離血管腓骨移植術治療股骨幹缺損 |
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作者 | 張明超; 陳全木; 陳天雄; 羅惠熙; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 29:5 民85.09-10 |
頁次 | 頁396-402 |
分類號 | 416.26 |
關鍵詞 | 雙截式游離血管腓骨移植術; 股骨幹缺損; Femur; Fibular graft; |
語文 | 英文(English) |
中文摘要 | 股骨幹之慢性骨髓炎合併骨骼缺損是骨科疾病申較複雜且困難的問題 之一。從1993年9月至1994年12月,本院共有四位股骨幹缺損之病人接受外固定 或內固定術,並輔以"雙截式"游離血管排骨移植術之治療。其中男女性各為兩 位,平均年齡為4I歲。有三位為股骨幹中段之缺損站合併有慢性骨髓炎,另一位 為股骨遠端缺損。平均之骨骼缺損為7公分,最小寫6公分,最大為H公分。在骨 骼移植術以前,此四位病人皆曾經接受平均6次以上之手術。平均追蹤時間為16 個月,其範圍從13個月至24個月。在骨移植術後四個月內獲得骨癒合者有三位, 另一位由於延遲性癒合而必需於6個月後接受再一次之海綿骨移植術,以達到癒 合。有一位病人於骨癒合7個月後發生疲乏性骨折,但在復位術及外固定術後3 個月即獲得良好之癒合。在最後之追蹤檢查中,發現有兩位病人之膝關節活動有 輕微受限,但此四位病人皆獲得良好之行走功能。 |
英文摘要 | From September 1993 to December 1994, four patients with large defects ofthe femoral shaft were treated with double-barreled" free vascularizedfibular grafts, in addition to internal or external fracture fixation. Therewere two females and two males whose average age was 41, ranging from 30to 54 years old. Location of the defects was in the middle third of thefemoral shaft in three patients, and in the lower third in one. Three of thelesions were infected nonunions. All of the patients had received multipleoperations before the bone transfer. Lengths of the ,bony defects were 7centimeters in average, ranged from 6 to 11 centimetars. The mean followup period was 16 months. Three of the patients achieved solid union ofthe fracture within four months of the transfer. The other required anadditional cancellous graft to achieve final union. Refracture of the graftoccurred in one patient, but solid and hypertrophic union was reachedthree months after reapplying external fixator without further cancellousgraft. Satisfactory walking was noted in all patients at the last follow-up,although two patients had restricted motion of the knee. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。