影响指多指纹修复后外表的因素 - - 亚洲人口中的护理人员的观点
Min Kai Chang1,2, Lauren Hui Ling Kwang3, Ashley Hsi Yin Chua1
1Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore.
The journal of hand surgery Asian-Pacific volume
|November 15, 2024
概括
指多指纹症重建有效地实现了尺寸对称性,但指甲板尺寸和关节角度仍然存在挑战. 护理人员的满意度通常很高,需要专注于改善指关节周长和痕外观,以获得更好的审美效果.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 手术手术手术手术手术
背景情况:
- 大指多指纹症重建的美学结果研究不足,重点是临床评估.
- 这项研究通过评估指对称性和护理人员感知的美学方面的手术有效性来弥补这一差距.
研究的目的:
- 评估手术重建的效果,指大小,长度和周围的对称性.
- 从护理人员的角度评估美学结果.
- 确定影响美学结果的因素,以改进未来的外科手术策略.
主要方法:
- 重建指的被召回患者接受了客观的人类测量和痕评估 (温哥华痕量表).
- 护理人员完成了视觉模拟尺度 (VAS) 调查,以了解指的外观,并提供了不满的原因.
- 与客观测量相关联的护理人员感知.
主要成果:
- 26名儿科患者 (29个指) 的指整体外观良好 (平均VAS 7.8 ± 2.2).
- 手术治疗实现了人体对称性,但发现了较小的指甲板和增加的关节角.
- 护理人员报告的指宽度与间关节 (IPJ) 周长相关;与IPJ角度相关的感知角度. 与VSS得分和位置相关的痕突出.
结论:
- 指多巴 reconstruction成功地恢复了指的大小,长度和周围的对称性.
- 在指甲板尺寸和关节角度方面仍然存在挑战,影响美学.
- 改善IPJ周长,IPJ角和痕特征对于提高审美效果至关重要.
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