晚期腘动脉损伤保肢术后的足部功能重建

Reconstruction of foot function after limb salvage of popliteal artery delayed injury

目的:探讨晚期月国动脉损伤保肢后足部功能重建的手术方式及效果。方法:对19例超过12h以上的晚期月国动脉损伤保肢后继发的足下垂畸形、足趾下垂畸形,分别进行距小腿关节融合术、跟腱延长术、伸拇、伸趾长肌短缩术及足趾关节融合术。结果:19例足部伤口全部均一期愈合,随访时间2～5年,足下垂、足趾下垂畸形均被矫正,16例患者穿鞋平地行走无跛行,3例轻微跛行,13例足部刺痛或烧灼痛1.0～1.5年后消失,足部无溃疡发生。结论:晚期月国动脉损伤保肢后行足部功能重建术可获得较满意的功能效果。

AIM:To discuss the surgical techniques and effect of reconstruction of foot function after lower limb salvage of popliteal artery delayed injury. METHODS:Nineteen patients with foot ptosis and toes ptosis after popliteal artery delayed injury were treated with ankle arthrodesis,tendo calcaneus lengthening,long toe extensor muscle shortening and interphalangeal joints arthrodesis. RESULTS:All cases were primary healed and followed up from 2 to 5 years. In these patients, all deformity(foot ptosis and toes ptosis)were corrected,16 cases ambulated without limp,3 cases ambulated with slight claudication,13 cases ambulated with picking pain or burning pain which obolited after one year, no cases ambulated with ulcer. CONCLUSION:The foot function reconstruction can achieve excellent results after limb salvage of popliteal artery delayed injury.