Functional reconstruction of the pelvic ring with simultaneous bilateral free fibular flaps following total sacral resection
Functional reconstruction of the pelvic ring with simultaneous bilateral free fibular flaps following total sacral resection
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DOI：
10.1097/01.sap.0000237058.57395.1d
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发表时间：
2006-12-01
影响因子：
1.5
通讯作者：
Karacor, Zeynep
中科院分区：
文献类型：
--
作者：
Choudry, Umar H.;Moran, Steven L.;Karacor, Zeynep
累及骨盆的大型骶骨肿瘤的治疗具有挑战性，可能需要根治性切除。骶骨切除会破坏脊柱和骨盆之间的连续性，导致骨骼对承重的支持作用丧失。如果不进行骨盆重建，患者将无法行走。本文报告了一例根治性骶骨切除术后应用双侧同时游离腓骨瓣重建功能性骨盆环的病例。对于全骶骨切除的病例，可使用带血管的游离腓骨移植来恢复盆腔连续性。
The treatment of large sacral tumors involving the pelvis is challenging and may require radical resection. Sacral resection disrupts the continuity between the spine and pelvis, resulting in loss of skeletal support for weight bearing. Without pelvic reconstruction, patients remain nonambulatory. This report describes a case of functional pelvic ring reconstruction utilizing bilateral simultaneous free fibular flaps following radical sacrectomy. Vascularize free fibular grafts may be used to restore pelvic continuity for cases involving total sacral resection.