FREE GRACILIS MUSCLE TRANSFER FOR COVERAGE OF SEVERE FOOT DEFORMITIES

被引：13

作者：

HAASBEEK, JF

ZUKER, RM

WRIGHT, JG

机构：

[1] HOSP SICK CHILDREN,CLIN EPIDEMIOL UNIT,TORONTO,ON M5G 1X8,CANADA

[2] HOSP SICK CHILDREN,DIV ORTHOPAED,TORONTO,ON M5G 1X8,CANADA

[3] HOSP SICK CHILDREN,DIV PLAST SURG,TORONTO,ON M5G 1X8,CANADA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 05期

关键词：

CLUBFOOT; EQUINOVARUS; GRACILIS; TRANSFER;

D O I：

10.1097/01241398-199509000-00012

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to describe the gracilis free-tissue transfer for soft-tissue coverage after surgical correction of severe clubfoot and other complex foot deformities in children older than 4 years. Requirements for success include complete correction of deformity, temporary Kirschner-wire fixation to maintain correction, experience in microvascular surgery, and close postoperative monitoring of the tissue transfer. Atrophy of the muscle transfer over the first year precludes the need for debulking procedures. This procedure was used in three children aged 4.5, 7, and 7.3 years with untreated or recurrent equinovarus foot deformities. Postoperatively, these children had flexible, pain-free, plantigrade feet with no donor-site complications. In conclusion, the gracilis free transfer appears to be a safe, effective, and reliable option to cover soft-tissue defects after the treatment of severe clubfeet in older children.

引用

页码：608 / 612

页数：5

共 8 条

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