Zespół lekarzy z Górnośląskiego Centrum Zdrowia Dziecka i Centrum Onkologii w Gliwicach przeprowadził rekonstrukcję stopy u 17-latka. Wykonanie zabiegu uchroniło chłopca przed amputacją. Pacjent ma szanse na powrót do sprawności.
17-letni pacjent, który trafił do oddziału Chirurgii Urazowo-Ortopedycznej Górnośląskiego Centrum Zdrowia Dziecka, uległ poważnemu wypadkowi motocyklowemu. Doszło u niego do ciężkich obrażeń w obrębie stopy, w tym do licznych złamań otwartych kości śródstopia, stawu skokowego i pięty oraz rozległych ubytków mięśni i skóry.
U pacjenta bezpośrednio po wypadku wdrożono leczenie ortopedyczne polegające na zaopatrzeniu uszkodzonej stopy i nadzorowaniu procesu zrastania się kości.
Operacja rekonstrukcyjna ratunkiem przed amputacją
Przed przystąpieniem do zabiegu rekonstrukcyjnego lekarze z Górnośląskiego Centrum Zdrowia Dziecka oczyścili miejsce urazu i usunęli martwe tkanki, co pozwoliło na uratowanie części stopy.
Podczas operacji rekonstrukcyjnej z prawego uda pacjenta pobrano płat o wymiarach 30 cm x 18 cm z fragmentem powięzi szerokiej uda oraz częścią mięśnia obszernego. Pobrana tkanka została następnie umieszczona w miejscu ubytku na stopie. Lekarze wykonali trzy mikrozespolenia naczyniowe i odtworzyli brakujące tkanki.
Jak wyjaśnia prof. Łukasz Krakowczyk z Centrum Onkologii w Gliwicach, pod kierownictwem którego odbył się zabieg, operacja pozwoliła uniknąć amputacji stopy. Pacjent ma szanse na powrót do sprawności.
Konieczna rehabilitacja
Pacjent kontynuuje leczenie w Poradni Ortopedycznej oraz Poradni Chirurgicznej Górnośląskiego Centrum Zdrowia Dziecka. Jak wyjaśnia dr Katarzyna Byrka-Owczarek, specjalistka w dziedzinie chirurgii z GCZD, operacja zakończyła się sukcesem, a przeszczepione tkanki się przyjęły. Po wygojeniu stopy pacjent rozpocznie proces rehabilitacji. Ekspertka zwraca uwagę, że konieczne może być wykonanie jeszcze jednego zabiegu chirurgicznego polegającego na dopasowaniu przeszczepionego płata do kształtu stopy.
Jak powiedział w rozmowie z PAP ordynator Oddziału Chirurgii i Urologii Górnośląskiego Centrum Zdrowia Dziecka w Katowicach prof. Tomasz Koszutski, zabiegi rekonstrukcyjne w tak trudnych przypadkach wymagają współpracy lekarzy wielu specjalizacji. Dzięki tego typu operacjom pacjenci mogą uniknąć okaleczenia i mają szansę na powrót do sprawności.
Źródło: PAP
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