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首页> 美国卫生研究院文献>Mdica >Rehabilitation in a Patient with Replantation of Amputated Distal Leg
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Rehabilitation in a Patient with Replantation of Amputated Distal Leg

机译：肢端截肢再植的患者的康复

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ABSTRACT>Background: Many studies have been reported on replantation of an upper extremity after traumatic amputation, but there are only a few case reports on replantation of the lower extremities rather than amputation surgery. This is due to preoperative factors, complications and the possibility of good prosthetic substitution.We describe here the dynamic evaluation necessary for a continuous rehabilitation treatment in a subject with replanted left foot after traumatic amputation.>Case report: A 58-year-old male person with amputation of the left leg at the level of the left talocrural joint, with talar dome and bimalleolar fractures and complete section of the blood vessels, nerves and tendons was considered for replantation surgery 7 hours after a traumatic injury.For an accurate evaluation of the postoperative conditions over time, clinical functional assessment combined with imaging and neurophysiological examination were conducted.Rehabilitation program is aimed to train the motor and sensory function of the replanted foot and to prevent undesired biomechanical changes that limit person's ability to perform everyday tasks. During the rehabilitation program there were a progressive recovery of the patient's protective sensation, active motion angles of the left ankle joint and muscle power of the replanted leg. Those are sufficient for walking activity and help the patient considerably in performing his everyday minimal housework.>Conclusions: A well designed postoperative dynamic rehabilitation program is necessary in order to regain functionality after successful distal leg replantation surgery. The clinical and imaging evaluation support a dynamic rehabilitation program adapted to different stages of functional recovery.
机译：摘要：>背景：关于创伤性截肢后上肢再植的许多研究已有报道，但仅有少数病例报道了下肢再植而不是截肢手术。这是由于术前因素，并发症和可能进行良好的假体置换所致。我们在此描述了在进行外伤性截肢后移植左脚的受试者中进行持续康复治疗所需的动态评估。>病例报告： 58岁男性左腿截肢在左滑石关节水平，距骨圆顶和双小叶骨折，血管，神经和腱的完整切片被认为是创伤性损伤后7小时的再植手术为了准确评估随时间变化的术后状况，进行了临床功能评估，影像学检查和神经生理学检查。康复计划旨在训练再植入脚的运动和感觉功能，并防止不希望的生物力学变化限制人的能力。执行日常任务。在康复计划中，患者的保护感觉，左脚踝关节的主动运动角度和再植小腿的肌肉力量逐渐恢复。这些足够进行步行活动，并在日常日常最小的家务劳动中为患者提供很大帮助。>结论：为使远端腿部再植手术成功后恢复功能，必须精心设计术后动态康复程序。临床和影像学评估支持适用于功能恢复不同阶段的动态康复计划。

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