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Complex open elbow fracture Gustilo-Anderson type IIIB treated with the primary elbow arthroplasty: A case report

Chinese Journal of Traumatology 2021年第2期24卷 120-124页

作者： Zoltan Cibula maros Hrubina Jeno Kiss Marian Melisik Libor Necas Jessenius Faculty of Medicine in Martin Comenius University in BratislavaKollarova 2Martin03659Slovak Republic University Department of Orthopaedic Surgery University Hospital MartinKollarova 2Martin03659Slovak Republic Department of Orthopaedic and Traumatologic Surgery Szent Janos Hospital BudapestDios Arok 1-3Budapest1125Hungary

Total elbow arthroplasty as a treatment option for open elbow fracture is relatively rare *** reported a 39 years old polytrauma patient with complex open elbow fracture(Gustilo-Anderson type IIIB).The patient presented with large soft tissues defect on dorsal part of the left elbow,ulnar palsy due to the irreparable loss of the ulnar nerve,distal triceps loss due to the complete loss of the olecranon,loss of both humeral condyles with collateral ligaments and complex elbow *** few similar cases have been *** surgery included repetitive radical debridement,irrigation,vacuum assisted closure system therapy,external fixation,coverage of the soft tissue defect with fascia ecutaneous flap from the *** months after the injury,total elbow arthroplasty with autologous bone graft(from the proximal radius)inserted in the ulnar component,was *** 3 years postoperatively,the patient is able to perform an active flexion from 0to 110with full *** passive extension is *** ulnar neuropathy is *** has no signs of infection or loosening of the prosthesis.

关键词： Elbow arthroplasty Complications Complex open elbow fracture

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成人活体肝移植：谁是理想的供体和受体？（上）

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传染病网络动态 2007年第3期 25-28页

作者： Henkie P. Tan Kusun Patel-Tom Amadeo maros 韩莹（编译）杨月（审校）

对于需行肝移植手术的终末期肝病患者（ESLD）来说，依靠增加尸体供肝（DD）的数量不能满足他们的需求。活体捐赠者提供了一个很大的器官来源，似乎是唯一可以立即解决这一矛盾的可行选择。然而，从这个“器官库”里获取器官花费巨大，... 详细信息

对于需行肝移植手术的终末期肝病患者（ESLD）来说，依靠增加尸体供肝（DD）的数量不能满足他们的需求。活体捐赠者提供了一个很大的器官来源，似乎是唯一可以立即解决这一矛盾的可行选择。然而，从这个“器官库”里获取器官花费巨大，这不仅是经济上的考虑，而且是生存和病态之间的抉择。活体捐赠手术仅是对一个从医学上讲不需手术的人实施的手术。供体仅获得心理上的满足感而所冒的风险要与受体的极大获益相平衡。无论如何，每一个手术都必须尽可能降低发病率，这使得这项手术成为外科领域中最有挑战性的技术。

关键词：成人活体肝移植受体供体肝移植手术器官来源肝病患者尸体供肝外科领域

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