小腿中段断肢再植后期重建足功能临床观察  

Study on restore foot function after replantation of amputated leg

作　　者：陈秋生[1] 杨建成[1] 余斌[1] 陈霞[1] 江浩[1] 

机构地区：[1]解放军第一军医大学珠江医院,广东广州510282

出　　处：《中国组织工程研究》2000年第13期10-11,共2页Chinese Journal of Tissue Engineering Research

摘　　要：目的小腿中段断肢再植后期足背伸、跖屈功能重建及肌力加强的研究。方法首先应用改良的Ｃｈａｒｎｌｅｙ关节夹矫正马蹄内翻足，并使足能够被动背伸、跖屈活动。再手术将远端失神经支配的变性、粘连组织切除，保留肌腱，切取髂肌束条桥接选编肌腱和近端肌腹。同时，再桥接前移的缝匠肌、股二头肌长头加强足背伸肌力；桥接游离的半腱肌、股薄肌加强足跖屈肌力。结果治疗３例，平均随访３年。足背伸跖屈肌力Ⅴ～Ⅵ，踝关节活动度背伸１５°～２０°、跖屈２５°～３０°。结论本方法效果确实。Objective To investigate how to restore foot function after replantation of amputated leg. Methods The author first used Charnley’s fixation frame orthopedic the foot, then cut off the nerveless injury muscle in the amputated limbs, resected off a section tensor fascia lata. and used it to replace of the muscle which had been injured. Meantime, transfer biceps femoris muscle and sartorius muscle to strengthen flexion muscles. Postoperation functional exercises of the ankle was carried out.. Results 3 patients were treated with this technique followed up for a period of from 2 years 8 months to 3 years 3 months. The extensive and flexsion muscle sthergth reached Ⅴ - Ⅵ + with satifactory ankle function, the range of motion if ankle was restored nearly to normal. Conclusion The technique is an effective method.

关 键 词：断肢再植 外固定架 骼胫束 ■绳肌 桥接 

分 类 号：R4[医药卫生—临床医学]