对于较大的手指纤维缺陷的人工皮肤修复:满意的覆盖,但有限制的感觉和不可避免的痕形成
Jialiu Fang1, Jisen Zhang2, Jin Bo Tang3
1Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China; Department of Orthopedic Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
概括
长指软组织缺陷 (1.5-4厘米) 的皮肤模板覆盖导致愈合,但没有正常的感觉或凸. 痕是不可避免的,有些病例显示指甲形和关节收缩.
科学领域:
- 整形外科 整形外科 整形外科
- 再生医学是一种再生医学.
- 手术手术手术手术手术
背景情况:
- 手指的发声软组织缺陷会给重建带来挑战.
- 皮肤模板是显著组织损失的潜在解决方案.
研究的目的:
- 为了评估使用皮肤模板测试指部软组织缺陷的结果,尺寸为1.5-4厘米.
- 评估治疗后的感觉恢复,痕形成和美学结果.
主要方法:
- 涉及15名患者 (19个手指) 用兰多皮肤模板治疗的前性研究.
- 随访时间平均为13个月,评估感官恢复 (2分歧视) 和外表.
主要成果:
- 所有的缺陷都成功治愈了.
- 平均静态两点差异是7毫米;在所有情况下都发生了显著的痕.
- 恢复飞指的体积是有限的,特别是在暴露的骨头或肌;注意到指甲形和关节收缩.
结论:
- 对于手指飞行缺陷 (>1.5厘米) 的皮肤模板修复不能恢复正常的感觉.
- 痕形成是一个不可避免的结果.
- 指的体积通常不会恢复,特别是在暴露结构的复杂病例中.
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