基于不同局部板的指脉重建的分析:系统性审查
Jefferson Braga Silva1,2, Catarina Vellinho Busnello3, Amanda Gros3
1Service of Hand Surgery and Reconstructive Microsurgery, PUCRS University, Porto Alegre, Brazil.
Journal of hand and microsurgery
|September 5, 2024
概括
重建指脉涉及各种局部片. 本综述比较了常见的片的结果,如第一个背侧甲关节动脉 (FDMCA) 片,帮助外科医生选择更好的患者康复.
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
- 重建性手术是一种重建性手术.
背景情况:
- 指脉重建存在挑战,因为片的结果和成本各不相同.
- 对于指重建的最佳局部板,目前还没有确定的共识.
研究的目的:
- 为了分析指飞行物质创伤常用的局部片的结果.
- 为了验证不同指重建的初级指示.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了MEDLINE/PubMed,VHL,Embase和Scopus (过去10年至2022年4月). 搜索时间为10年.
- 选了573个记录,包括20项用于分析的研究.
主要成果:
- 对第一个背部甲手腕动脉 (FDMCA),修改后的FDMCA (MFDMCA),莫伯格,异数位神经血管岛,神经血管岛脚和修改后的Littler片的结果和预后因素进行了比较.
- 识别了MFDMCA,Moberg,神经血管岛脚和FDMCA板通常是积极的.
结论:
- 多个板可用于大指脉重建.
- 外科医生必须考虑影响恢复日常活动的预后因素,在选择片时.
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