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Ultima descărcare din IBN: 2023-11-19 02:00 |
SM ISO690:2012 PAVLOVSCHI, Elena, STOIAN, Alina, IORDĂCHESCU, Rodica, MIHALUŢA, Viorica. Artrodeza genunchiului cu lambou compozit fibular. Raport de caz clinic. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 518. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. The free vascularized bone transfer has evolved to become an accepted and often the preferred reconstruction for critical size bone defects in both the axial and appendicular skeleton (Sparks et al., 2017). Objective of the study. To perform the clinical case rapport about the approach and evolution of the large bone defect, that occurred after ablation of the total knee prosthesis, septic complicated on oncology patient. Material and Methods. The clinical case's about the patient (31 yrs) diagnosed in 2009 with osteoclastoma of the distal femur. The tumor was ablated quickly, the total endoprotesation of the knee was made. That was complicated by a septic bone defect(2015). The approach: septic defect healing, prosthesis ablation were done. The next step: arthrodesis of the knee was done with a vascularized fibular composite flap. Results. The patient was periodically investigated postoperatively and 5 years (2020) later. No recurrences of the infectious or oncological process were determined. The satisfactory clinical and paraclinical indices were recorded. Conclusion. Our experience allows us to maintain that the utilization of an axially composite flap for reconstruction of the complicated septic process at the pelvic limb can be a solution without respecting the required period for the remission of the infection. |
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Cuvinte-cheie septic bone defect, composite fibular flap, defect osos septic, lambou compozit |
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