Doctors fight for 13 hours to take bone tumor patients with calf fibula to rebuild their arms

Author:Wuhan City Central Hospital Time:2022.08.22

(Correspondent Liu Shanshan) The 24 -year -old man's right forearm was weak and sore, thinking that he had used computers to cause muscle strain for a long time until the symptoms were aggravated to seek medical treatment. Unexpectedly, radial malignant tumors were found. A few days ago, the team of plastic surgery experts in Wuhan Central Hospital struggled for 13 consecutive hours. After the tumor was completely removed, the fibula of the calf was reshaped the arm to prevent the patient from suffering from amputation.

The 24 -year -old Zhao (Hua surname) faces the computer every day because of his work. At the end of last year, Xiao Zhao began to appear weak and sore right forearm. At first he thought it was a long -term operation of the computer and caused muscle strain. He didn't care too much, so he bought some plaster to post it, but the symptoms have not completely improved. A month. Later, his symptoms worsened and could not even lift his arms. Then he rushed to the hospital for a visit to the hospital. After inspection, the malignant tumor of the radius was preliminary. But if you do amputation, he will lose his hands. In order to keep his arm, his family took him to Wuhan Central Hospital for plastic surgery for further treatment.

Director Bai Xinping led the team to repeatedly study the patient's condition and analyze the image data. Due to the large scope of the lesion, and the expansion of the removal part, the length of the entire radius required was 13cm. Considering that the patient is still so young, he must do his best to help him retain the morphology and function of the limbs, and rebuilding and repairing is the main difficulty of surgery. In order to completely remove the tumor and retain the appearance and function of the right upper limb as much as possible, after the expert team and patients and their families repeatedly communicate, they finally decided to completely remove the tumor and the radius that was severely eroded, and then used the autologous fibula bone transplantation with blood vessels to repair the radius to repair the radius. Dacking. Although the operation is very difficult, it is the best plan for patients' daily life in the future.

After sufficient preparation, Director Bai Xinping, Deputy Chief Physician Liu Juan, and Church of Zhu Haijun took the stage to perform surgery for Xiao Zhao. The fibula of the blood vessels is carefully operated under the microscope, and the bones are transplanted to the lacking radius with the blood vessels and flaps. After 13 hours, the operation was successfully completed. The postoperative medical staff did not dare to lack at all. Under the careful treatment of medical staff, Xiao Zhao returned to smoothly. A few days after the operation, the doctor observed the color of the free flap, which was rosy, and basically judged that the skin flap had survived.

Experts remind that Juventus's sarcoma is a common malignant bone tumor that occurs in teenagers. Early symptoms are local pain and exacerbate. With the development of the disease, the affected area may have significant swelling and can touch the lumps, and the condition progresses quickly. Experts remind that you must pay attention to the physical examination. Once an unknown cause of the limbs, the pain of the limbs of the limbs, and the symptomatic treatment after rest and symptomatic treatment, should go to the hospital for a clear diagnosis in time to clear the diagnosis.

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