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曲肌连续性和负X射线:指部截肢的"组合"负面特征

Pierfrancesco Pugliese¹, Mariangela Vulpetti¹, Greta Tondini¹

¹Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, 90127 Palermo, Italy.

Journal of clinical medicine

|June 19, 2024

概括

只有 flexor 肌连续性和最小的骨损伤的手指子截肢在微手术重血管化后的失败率很高. 这种特定的伤害模式表明手指救援尝试的预后不好.

科学领域:

微手术微手术是一种微手术.
手术手术手术手术手术
创伤外科手术创伤外科

背景情况:

带有血管损害的手指截肢造成了重大的外科手术挑战.
软组织损伤,放射性发现和这些损伤的结果之间的相关性并不总是直接的.
评估预后因素对于成功的手术干预至关重要.

研究的目的:

为了评估手指截肢后的微手术复血管化的结果.
为了确定与预后不佳相关的特定损伤模式.
建议对凯-阿达尼对截肢以下伤害的分类进行更新.

主要方法:

对27名男性患者进行手指子截肢的微手术重血管化后期分析 (2018年5月 - 2023年7月).
纳入标准侧重于血管脚损伤与试图救援;排除标准包括完整的脚或立即截肢.
特别注意的是,只有flexor digitorum profundus (FDP) 或flexor pollicis longus (FPL) 连续性的病例.

主要成果:

在手指救援方面,观察到全球49%的失败率.
在只有FDP或FPL连续性 (11个案例) 的情况下,故障率增加到73%.
当曲肌完整性存在且骨/关节损伤最小时,重血管化失败达到100%.

结论:

带有神经移动的子截肢,其特点是曲肌的连续性和最小的骨/关节损伤,预示着更糟糕的预后.
这些发现表明,需要对截肢后伤害的现有分类进行细化.
凯-阿达尼分类 (III组) 的拟议补充旨在帮助复杂病例的外科决策.

关键词:

突破伤害的伤害是因为突破伤害.指的副截肢是指的截肢.规范化规范化规范化重新血管化的过程.

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