transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologists10.23873/2074-0506-2010-0-1-58-60transplantologiya-271Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCASE REPORTРеплантация стопы по типу аутотрансплантации как альтернатива реампутации и протезированиюFoot replantation by the autotransplantation type as an alternative to reamputation and prosthesis replacementШибаевЕ. Ю.ShibayevE. Yu.ИвановП. А.IvanovP. A.КисельД. А.KiselD. A.

Дмитрий Александрович Кисель

dkis@yandex.ruНИИ cкорой помощи им. Н.В. СклифосовскогоРоссияN.V. Sklifosovsky Research Institute of Emergency CareRussian Federation201017082018015860Copyright © Шибаев Е.Ю., Иванов П.А., Кисель Д.А., 20182018Шибаев Е.Ю., Иванов П.А., Кисель Д.А.Shibayev E.Y., Ivanov P.A., Kisel D.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/271

Приведено клиническое наблюдение реплантации стопы по типу аутотрансплантации после травмы, полученной в результате наезда поезда, с укорочением конечности на 12 см с последующей дистракцией в аппарате наружной фиксации. Описаны технические особенности методики, сочетающей в себе элементы аутотрансплантации и современной ортопедической технологии удлинения костей. Показана возможность хорошей реабилитации пациента после реплантации конечности при тяжелой травме, обычно приводящей к потере конечности. Описанная методика обеспечивает высокую степень надежности и предсказуемости функциональных и эстетических результатов, получить которые путем протезирования не представляется возможным.

The paper provides a case of foot replantation by the autotransplantation type after train run-over-inflicted injury, by shortening the limb by 12 cm, followed by distraction in the external fixation apparatus. The technical features of the procedure comprising the elements of autotransplantation and up-to-date orthopedic technology of bone elongation are described. A patient’s good rehabilitation is shown to be possible after replantation of a limb in severe injury generally resulting in its loss. The described procedure assures a high reliability and predictability of functional and aesthetic results that cannot be achieved via prosthesis replacement.

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The authors declare that there are no conflicts of interest present.