一个"扩展区域"概念,用于上肢的软组织覆盖:上肢"扩展区域"
1From the Division of Plastic Surgery, Sacred Heart Campus, St. Luke's Hospital, Allentown, PA.
Annals of plastic surgery
|December 9, 2024
概括
这项研究重新审视了上肢软组织重建的"扩展区域"概念,提出它作为传统方法的可行替代方案. 这种方法增强复杂伤口的重建选择,在必要时优先考虑局部片和自由组织转移.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 整形外科手术 整形外科手术
背景情况:
- 传统的下肢软组织覆盖依赖于受伤区域和当地片的可用性.
- 一个早期的假设建议将类似的原则应用于上肢覆盖,但基本上被忽视了.
- 皮带和穿孔片的进步扩大了上肢的局部片选择.
研究的目的:
- 重新评估和倡导"扩展区域"概念用于上肢软组织重建.
- 用现代的片技术来证明这个概念的适用性.
- 根据伤口特征和可用的捐赠部位,为选择适当的重建方法提供框架.
主要方法:
- 根据当前的重建技术,对历史"扩大区域"假设的审查和重新解释.
- 对上肢内解剖区域的分析及其适合于基于片的重建.
- 在"扩展区"框架内讨论局部片 (皮,穿孔) 和自由组织转移的整合.
主要成果:
- "扩展区"概念为上肢软组织覆盖提供了比严格的解剖边界更灵活的方法.
- 可比较的解剖区域可以得到类似的处理,从而实现功能和美学修复.
- 现在,上肢内部的局部门选项已经足够,可以认真考虑这个概念.
结论:
- "扩展区"概念,与现代的片技术更新,为上肢重建提供了一个有价值的策略.
- 这种方法允许量身定制的重建,在可行的情况下优先考虑局部组织.
- 当不存在合适的局部片时,自由组织转移仍然是一个至关重要的选择,反映了下肢原则.
相关概念视频
Arteries of the Upper Limbs
420
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
420
Bones of the Upper Limb: Humerus
2.9K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
2.9K
Ultrasonography
4.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.3K
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
359
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
359
Veins of Upper Limbs
524
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
524


