Repair of bone defect of the lateral forefoot by double segment triangular fibula flap with vascular pedicle : a case report
المؤلفون المشاركون
Chen, Jia
Zhang, Kai
Yang, Ruifu
Song, Li
Zhou, Mingwu
Xing, Chaofeng
Li, Shimin
Xiong, Yingjie
المصدر
Saudi Journal of Biological Sciences
العدد
المجلد 24، العدد 8 (31 ديسمبر/كانون الأول 2017)، ص ص. 1907-1912، 6ص.
الناشر
تاريخ النشر
2017-12-31
دولة النشر
السعودية
عدد الصفحات
6
التخصصات الرئيسية
العلوم الطبيعية والحياتية (متداخلة التخصصات)
الملخص EN
Objective : to expound the clinical effect of a new operation by transplanting double segment triangular fibula flap with vascular pedicle to repair the forefoot with lateral bone defect, and to study how to improve the operation method in the following stage.
Methods : The inclusion criteria: More than 2 phalangeal and metatarsal bones defects of the lateral forefoot, widespread skin and soft tissue defects on pelma and dorsal foot, and destruction of the anterior aspect of foot arch, which seriously affects the foot function.
There was one case of clinical application in November 2014.
The repairing method is as followed: the harvested vascularized free fibula was cut into 2 segments and then they were folded into a right angle.
According to selected control points on the residual metatarsals, an optimal stereo triangular net was constructed.
Meanwhile, according to flow-through mode, the free anterolateral thigh flap was incorporated to repair the forefoot and foot arch.
Results : Postoperative bone flaps all survived.
After a 17-month following up, it was found that the grafted fibular healed well, shape of the foot was good, weight-bearing walking was practical, a slight limp and discomfort with plantar pain existed, sensory recovery reached S3 level and functional recovery of weight-bearing walking by forefoot reached W3 level, comprehensive evaluation was good, and there were wear scar and ulcer on the plantar flap during long-time walking for patients, such results were excellent according to foot function scoring criteria.
Conclusion : in this operation the grafted fibula was fold into a triangle according to actual need, which though not completely restores the tridimensional structure of the longitudinal, transverse arches of the lateral foot makes weight-bearing walking possible, besides, its appearance and function is satisfactory.
Such an operation has overcome the shortage of non-tridimensional structure of the transverse arch etc.
in traditional operations and it should be an ideal operation in repairing serious defects on the lateral forefoot through further improvement.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Yang, Ruifu& Li, Shimin& Song, Li& Chen, Jia& Xiong, Yingjie& Zhang, Kai…[et al.]. 2017. Repair of bone defect of the lateral forefoot by double segment triangular fibula flap with vascular pedicle : a case report. Saudi Journal of Biological Sciences،Vol. 24, no. 8, pp.1907-1912.
https://search.emarefa.net/detail/BIM-780618
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Li, Shimin…[et al.]. Repair of bone defect of the lateral forefoot by double segment triangular fibula flap with vascular pedicle : a case report. Saudi Journal of Biological Sciences Vol. 24, no. 8 (Dec. 2017), pp.1907-1912.
https://search.emarefa.net/detail/BIM-780618
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Yang, Ruifu& Li, Shimin& Song, Li& Chen, Jia& Xiong, Yingjie& Zhang, Kai…[et al.]. Repair of bone defect of the lateral forefoot by double segment triangular fibula flap with vascular pedicle : a case report. Saudi Journal of Biological Sciences. 2017. Vol. 24, no. 8, pp.1907-1912.
https://search.emarefa.net/detail/BIM-780618
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 1911-1912
رقم السجل
BIM-780618
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر