血管化股骨肌骨膜移植治疗先天性胫骨假关节:病例报告。

IF 1.5 3区 医学 Q3 SURGERY
Microsurgery Pub Date : 2024-09-06 DOI:10.1002/micr.31218
Francisco Soldado, Danilo Rivas-Nicolls, Juliana Rojas-Neira, Juan J. Sevilla-Tirado, Trong-Quynh Nguyen, Jorge Knorr
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引用次数: 0

摘要

事实证明,纯血管化骨膜移植对患有生物复杂性骨不连的儿童实现快速骨愈合极为有效。游离胫骨和腓骨骨膜移植通常适用于需要大面积骨膜瓣的情况。我们报告了使用血管化股骨肌骨膜移植(VFMPG)治疗一名患有先天性胫骨假关节的六岁男孩胫骨远端截骨不愈合的病例。移植物包括一个 9 厘米长的肌骨膜瓣(弹性回缩 50%后),其中包含股骨中上肌和由股骨外侧周血管降支滋养的股骨头骨膜。股内侧跖骨被用作受体血管。术后 10 周痊愈。患者在没有矫形器的情况下恢复了步态和体育活动。术后 17 个月,供体或受体部位均未出现并发症。采用 VFMPG 可以替代目前用于复杂小儿非骨髁连接的其他游离或大血管骨膜瓣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vascularized Femoral Myo-Periosteal Graft for Congenital Pseudarthrosis of the Tibia: A Case Report

Pure vascularized periosteal transplants have been shown to be extremely effective at achieving rapid bone healing in children with biologically complex non-union. Free tibial and fibular periosteal transplants are generally indicated when large periosteal flaps are necessary. We report using a vascularized femoral myo-periosteal graft (VFMPG) to treat distal tibial osteotomy non-union in a six-year-old boy with congenital pseudarthrosis of the tibia. The graft consisted of a 9 cm myo-periosteal flap (after 50% of elastic retraction) that incorporated the vastus intermedius muscle and diaphyseal femoral periosteum nourished by the descending branch of the lateral circumflex femoral vessels. Plantaris medialis was used as a recipient vessel. Healing occurred 10 weeks after surgery. The patient resumed gait and sports activity without orthosis. No donor or recipient site complications occurred 17 months after surgery. Employing a VFMPG might be an alternative to other free or large vascularized periosteal flaps currently in use for complex pediatric non-unions.

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来源期刊
Microsurgery
Microsurgery 医学-外科
CiteScore
3.80
自引率
19.00%
发文量
128
审稿时长
4-8 weeks
期刊介绍: Microsurgery is an international and interdisciplinary publication of original contributions concerning surgery under microscopic magnification. Microsurgery publishes clinical studies, research papers, invited articles, relevant reviews, and other scholarly works from all related fields including orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, urology, and vascular surgery.
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