肌肉与皮肤自由的单中心回顾性比较,用于后肘缺陷重建
Florian Falkner1, Amir Khosrow Bigdeli1, Benjamin Thomas1
1Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen, Germany; Department of Hand and Plastic Surgery, Heidelberg University, Heidelberg, Germany.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|August 23, 2024
概括
自由肌肉 (MFs) 和皮肤 (CFs) 在肘部重建方面显示了类似的结果. 这两种片类型对于后肘缺陷都是安全有效的,并发症率没有显著差异.
科学领域:
- 微手术 微手术是一种微手术.
- 整形外科手术 整形外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 缺乏对肘部缺陷重建的自由结果的比较数据.
- 这项研究将自由肌 (MFs) 与皮肤 (CFs) 的并发症率进行比较,用于后肘重建.
研究的目的:
- 为了比较自由肌肉 (MFs) 与皮肤 (CFs) 的并发症率,用于后肘重建.
- 评估不同类型的自由在肘部缺陷修复中的安全性和有效性.
主要方法:
- 单中心回顾性分析的患者接受后肘重建自由的MFs或CFs (2000-2021).
- 图表审查包括患者的人口统计,手术细节和手术后并发症.
- 结果进行了比较:微血管并发症,膜亡,伤口枯,血瘤,感染和供体部位并发症.
主要成果:
- 分析了66个自由 (42个CF,24个MF);观察到使用CF的趋势.
- 在微血管并发症 (10%与13%相比),部分亡 (7%与8%相比),伤口脱光 (7%与4%相比),血液瘤 (10%与4%相比) 或感染 (0%与4%相比) 中没有显著差异.
- 在1个CF (2%) 和0个MF (0%) 中发生了全 necrosis.
结论:
- 在CF和MF之间,手术结果,骨亡率和微手术并发症并没有显著差异.
- 自由肌肉和皮肤都是安全有效的,用于后肘重建.
- 免费的前侧大腿和大背脊片对于广泛的肘部缺陷有价值.
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