The importance of soft tissue stabilization in trans-femoral amputation

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• 作者：F. Gottschalk M.D.
• 关键词：Adductor magnus muscle ; Amputation surgery ; Muscle balance ; Myodesis ; Transfemoral amputation
• 刊名：Der Orthop?de
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：45
• 期：1-supp
• 页码：1-4
• 全文大小：1,023 KB
• 参考文献：1.Barnes RW (Ed) (2000) Amputations: an illustrated manual. Hanley and Belfus, Philadelphia, pp 103–117
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  7.Gottschalk F (2015) Transfemoral amputation: surgical management, in AAOS Atlas of amputation and limb deficiencies (In press)
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• 作者单位：F. Gottschalk M.D. (1)
  
  1. Department Orthopaedic Surgery, UT Southwestern Medical Center Dallas, 1801 Inwood Road, 75390-8883, Dallas, Texas, U S A
  
• 刊物主题：Orthopedics; Chiropractic Medicine; Conservative Orthopedics; Surgical Orthopedics; Sports Medicine; Traumatic Surgery;
• 出版者：Springer Berlin Heidelberg
• ISSN：1433-0431

文摘

Transfemoral amputations with more proximal amputation levels have the problem of secondary development into flexion and abduction contractures. This is induced by muscle imbalance, especially the loss of adductor muscle insertions when abductor muscle insertions are preserved. This causes considerable problems when fitting prosthetics. Myodesis with insertion of the distally detached adductor magnus muscle to the lateral femoral cortex, introduced here, results in a stronger stump with good muscle balance, and prosthetics fitting is significantly improved.