膝关节毁损伤的功能重建  

Functional reconstruction for knee with destructive injury

作　　者：曾炳芳[1] 眭述平[1] 姜佩珠[1] 于仲嘉[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,200233

出　　处：《中华创伤骨科杂志》2005年第12期1104-1107,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的报告膝关节毁损伤功能重建的方法和结果。方法1991年6月～2001年4月,应用显微外科技术为4例膝关节毁损伤患者进行了功能重建,分别为双侧背阔肌肌皮瓣组合移植、急诊背阔肌肌皮瓣移植、急诊废弃小腿复合组织移植和急诊肢体旋转成形术。结果移植的组织均完全成活,随访4～14年证实,保留和重建的膝关节都恢复正常或接近正常的功能。结论膝关节毁损伤都应当尽可能重建修复,显微外科技术能提供有效的解决办法。Objective To report the technique ot tunctional reconstruction lor knee joint following destructive injury and its outcome. Methods In the period from June 1991 to April 2001, microsurgery was done for 4 cases to reconstruct functions of the damaged knees. The operations were combined with transplantation of bilateral latissimus dorsi myocutaneous flaps, emergency transplantation of latissimus dorsi myoeutaneous flap, emergency transplantation of useless leg composite tissue and emergency rotation-plasty, respectively. Results All the transplants survived completely. The follow-ups, ranging from 4 to 14 years, revealed normal or nearly normal functions in all the repaired knees. Conclusion Whenever possible, a knee with destructive injury should be repaired and reconstructed, and microsurgery may offer an effective solution.

关 键 词：膝关节 毁损伤 重建 显微外科 

分 类 号：R687.4[医药卫生—骨科学]