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作 者:张正之[1] 郑仰林[1] 吴晋普[1] 韩西成 谭瑞诚[1] 孟庆水[1]
机构地区:[1]山西医学院第一附属医院骨科
出 处:《中华骨科杂志》1995年第1期29-31,T002,共4页Chinese Journal of Orthopaedics
摘 要:从1979~1986年用带血管游离腓骨移植治疗四肢大段骨缺损共48例,其中39例得到随访。发现移植腓骨的直径增粗与手术时的年龄及受区部位有关,小于20岁的直径增粗率高,受区在下肢的直径增粗率明显大于上肢。移植后的腓骨长度、髓腔直径与上述两种因素无明显关系。有2例发生应力骨折。AbstractForty eight patients with large bone defects inthe extremities were repaired with vascularizedfibular grafts from 1979 to 1986. 39 cases had fol-low-up observations. The results revealed that,the hypertrophy in the diameter of the transferredflbular was related to the age of the patient at thetime of the surgery and the sites of the recipient.The hypertrophy rate was higher in the lower ex-tremities than that in the upper limbs,especiallyin patients less than 20 years of age. No changewas found in the length dnd the diameter of thebone marrow cavity of the grafts.Stress fractureof the grafts were seen in 2 cases.
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