期刊名称：Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health
印刷版ISSN：1224-7359
出版年度：2012
卷号：12
期号：2
页码：248-249
语种：English
出版社：Ovidius University Press
摘要：Purpose.Today we live in an era of speed with a growing rate of accidents,especially traffic that is associated more frequently with complex trauma,in particular of lower limb,is within the classification of type III open fractures B / C.These injuries are often accompanied by great loss of tissue in the leg,requiring complex reconstructive surgery.Methods.I took the 158 study patients with complex lesions in the calf-ankle-foot defects were accompanied by significant loss of skin,muscle and bone,only those cases which required microsurgical reconstruction type.We selected and pursued these cases because of their severity,many of them to amputations limit,and trying to prove that the evolution of science by introducing microsurgery in orthopedics and emergency services can change the destiny of man,athlete or not.Results.Thus at the patient hospitalization,mean limb function made up 28.36 ± 2 points for third proximal calf 24.17 ± 2 points for the middle third leg,and 20.12 ± 2 points for distal third leg.At 18 months postoperatively,in the group of patients overall result was satisfactory.The average score of function in proximal third of leg was made at 5.09 ± 1 (p = 0.029),middle third of - 5.20 ± 1 (p = 0.024) and distal third of leg - 6.31 ± 1 (p = 0.011).Distal third leg was more modest final results compared to the middle and the proximal,which is determined by placing lesions in close proximity to the joint talocrurale.Conclutions.Finally we can say that the assessment of lower limb functional disturbance shows that solving through reconstructive microsurgery techniques these serious cases with significant loss of tissue (skin,muscle,tendon,bone),leads not only to shorten hospitalization and reduce costs,but also a good psycho-social and professional reintegration.
