用于指尖伤害的V进步变形:预防缺血和甲形
Jung Eun Lee1, Sihun Kim1, Jieun Kwon2
1Department of Orthopedic Surgery, Gachon University Gil Medical Center, Incheon, Korea.
JPRAS open
|April 1, 2024
概括
修改后的V-Y进步,称为"V进步变形",为指尖截肢提供了可靠的解决方案,最大限度地减少了钉形等并发症,并确保了成功的伤口愈合.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 创伤外科 手术 创伤外科
背景情况:
- 创伤性指尖截肢是一种常见的上肢损伤.
- 用于重建的标准V-Y推进片可以导致钉形和部缺血.
研究的目的:
- 描述V-Y进步技术的修改,创建了"V进步常规".
- 审查这个修改技术在指尖截肢患者的结果.
主要方法:
- 对21名连续患有指尖受伤的患者进行了回顾性审查,这些患者接受了V进步变动片的治疗.
- 对患者人口统计,损伤特征和临床结果 (客观和主观) 的分析.
- 2006年至2019年间在一个创伤中心收集的数据.
主要成果:
- 治疗了23个指尖截肢 (缺陷大小大于1.0厘米2).
- 所有片均无故障愈合,没有片亡或甲形.
- 平均伤口愈合时间为29.4天;平均静态两点区分是4.61毫米.
- 患者报告的结果是优秀的 (18例) 或良好的 (5例).
结论:
- 这种V进步变形技术有效地重建了指尖缺陷.
- 这种修改后的技术可以最大限度地降低发病率,成功地实现伤口愈合,避免常见的并发症.
- 适当的设计和执行是指尖截肢重建中成功结果的关键.
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