游离腓骨皮瓣结合同时肌腱重建用于肌上皮癌切除术后的中足修复。

IF 1.4 4区医学 Q3 SURGERY

Annals of Plastic Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI:10.1097/SAP.0000000000004028

Yu-Chen Kuo, Jian-Jr Lee, Shyun-Jing Wee

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引用次数: 0

摘要

摘要：软组织肌上皮癌很罕见，大多数是恶性的。最佳治疗方法是手术切除。足弓是负责承重和压力分布的复合结构，因此重建足弓是一项巨大的挑战。我们报告了一例使用游离腓骨瓣和肌腱移植重建中足的病例。我们回顾了文献，比较了足部重建的各种方案，并对不同骨瓣的效果进行了分类。游离腓骨骨皮瓣因其足够的长度、强度、灵活的皮瓣、易于承受的截骨术和同步肌腱移植而成为中足重建的最佳选择。

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Free Fibular Osteocutaneous Flap Combined With Simultaneous Tendon Reconstruction for Midfoot Restoration After Myoepithelial Carcinoma Resection.

Abstract: Myoepithelial carcinomas of soft tissue are rare, and most are malignant. The optimal treatment is surgical excision. The arches of the foot are a composite structure responsible for weight bearing and pressure distribution, so it is a vast challenge in reconstruction. We report a case of reconstruction of the midfoot with a free fibular bone flap and tendon graft. We review the literature to compare various options in foot reconstructions and sort out the outcomes of different bone flaps. The free fibula osteocutaneous flap is the superior choice for midfoot reconstruction owing to its sufficient length, strength, flexible skin paddles, easy-to-withstand osteotomy, and simultaneous tendon graft harvesting.

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来源期刊

Annals of Plastic Surgery 医学-外科

CiteScore

2.70

自引率

13.30%

发文量

584

审稿时长

6 months

期刊介绍： The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.