Case report: Hybrid reconstruction of quadriceps function after sarcoma resection using a reinnervated free flap and tendon transfer.

IF 0.4 4区 医学 Q4 SURGERY
B Hoteit, A Delgove, D Adam, M Fau, A Michot
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引用次数: 0

Abstract

We describe a case of a leiomyosarcoma of the thigh, the resection of all the anterior muscular compartment, and the reanimation of knee extension, using a latissimus dorsi (LD) free flap and tendon transfer. Surgical technique and postoperative care management are described. Functional results, neuropathic pain, and range of motion (ROM) were assessed at 3 months and 12 months after discharge. A complete excision (R0) was carried out and rapid wound healing was obtained despite developing a seroma infection. The patient was able to walk without technical support nor limping at 3 months post-surgery. The patient was still in remission at 12 months follow-up, with Medical Research Council (MRC) scale assessed at 4/5 and ROM rated at 5-105°. In case of total quadriceps resection, knee extension reconstruction can be obtained with tendon transfers and reinnervated free muscular flaps. Combining these techniques could be a good strategy for rapid recovery, with optimal scarring and tissue coverage.

病例报告:肉瘤切除术后利用再神经游离皮瓣和肌腱转移混合重建股四头肌功能。
我们描述了一例大腿前肌肉瘤病例,通过背阔肌(LD)游离皮瓣和肌腱转移,切除了所有前肌室,并重新恢复了膝关节伸展功能。本文介绍了手术技术和术后护理管理。出院后3个月和12个月时对功能效果、神经痛和活动范围(ROM)进行了评估。尽管出现了血清肿感染,但还是进行了完全切除(R0),伤口迅速愈合。术后 3 个月时,患者可以在没有技术支持或跛行的情况下行走。随访12个月时,患者病情仍在缓解,医学研究委员会(MRC)量表评估为4/5,ROM评分为5-105°。在股四头肌全切除的情况下,可通过肌腱转移和神经再支配游离肌肉瓣重建膝关节伸展功能。将这些技术结合起来是一种快速恢复的好方法,并能达到最佳的瘢痕和组织覆盖效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
86
审稿时长
44 days
期刊介绍: Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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