잠시만 기다려 주세요. 로딩중입니다.

동측 분쇄 골절이 동반된 하지 절단 노령 환자의 재접합술 - 증례 보고 -

Major Limb Replantation of Lower Leg Amputation with Ipsilateral Distal Femoral Comminuted Fracture in Old Age: A Case Report

대한골절학회지 2019년 32권 4호 p.227 ~ 231
안태영, 이승준, 곽상호, 장효석, 이상현,
소속 상세정보
안태영 ( Ahn Tae-Young ) - 부산대학교병원 정형외과
이승준 ( Rhee Seung-Joon ) - 부산대학교병원 정형외과
곽상호 ( Kwak Sang-Ho ) - 양산부산대학교병원 정형외과
장효석 ( Jang Hyo-Seok ) - 인제대학교 해운대백병원 정형외과
이상현 ( Lee Sang-Hyun ) - 부산대학교병원 정형외과

Abstract


The development of microsurgical techniques has also increased the success rate of replantation surgery. This paper reports the results of limb replantation performed on a lower extremity amputation that was associated with crush amputation and an ipsilateral comminuted fracture in and elderly patient. A 68-year-old female presented with a right distal tibia amputation due to a traffic accident. At that time, with a comminuted fracture in the distal femoral condyle, simple wound repair was recommended, but the caregivers strongly wanted replantation. Three years after surgery, normal walking was possible without a cane and the patient was satisfied with the function and aesthetics. What used to be contraindicated in limb replantation in the past are now indications due to the development of microsurgical techniques, surgical experience, and postoperative rehabilitation treatment. If the patient is willing to be treated, good results in contraindications can be obtained.

키워드

Old age amputation; Ipsilateral fracture; Lower limb replantation

원문 및 링크아웃 정보

 

등재저널 정보