基于端到侧解剖的化学自由片,用于复杂的下肢重建
Yingluo Gu1, Yongyang Sun, Ke Xu
1From the Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Annals of plastic surgery
|December 27, 2024
概括
化学前侧大腿免费片 (ALTF) 和门动脉穿孔器免费片 (PAPF) 为复杂的下肢重建提供了可靠的解决方案. 这些片用于动脉端到侧解剖,表现出良好的功能和美学结果,并发症率低.
科学领域:
- 微手术 微手术是一种微手术.
- 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.
背景情况:
- 复杂的下肢缺陷带来了重大的重建挑战,通常需要多次自由组织移植.
- 化学前侧大腿免费片 (ALTF) 和门动脉穿孔器免费片 (PAPF) 已开发用于使用动脉端到侧 (ETS) 解剖术进行重建.
- 本研究评估了在复杂的下肢重建中使用模拟ALTF和PAPF的机构经验.
研究的目的:
- 评估与虚构的前侧大腿免费片 (ALTF) 和门动脉穿孔器免费片 (PAPF) 的机构经验.
- 在复杂的下肢重建中定义这些模拟的作用.
- 用这些技术评估使用这些技术的重建的结果和并发症概况.
主要方法:
- 从2012年7月到2023年3月,对27名患有复杂下肢缺陷的患者进行了回顾性审查,这些患者使用仿真ALTF或PAPF重建.
- 叶片被用于逆行时尚的小腿高原骨折和前级的远距离小腿缺陷.
- 收集的数据包括人口统计,临床和后续信息,重点关注6至60个月的并发症概况.
主要成果:
- 平均缺陷尺寸为121.1厘米,而片尺寸为143.9厘米.
- 一名患者最初出现了片损失,但成功进行了二次重建;三名患者出现了部分片损失,三名患者出现了轻微的并发症,所有患者都成功治疗.
- 逆行和前行板显示了可比的血液流动,患者对功能和美学结果的满意度很高.
结论:
- 化学ALTF和PAPF,用于动脉ETS解剖,代表复杂的下肢重建的可靠的外科选择.
- 这种技术,无论是使用逆向流还是逆向流,都显示出有利的并发症概况.
- 这些模拟片为挑战下肢缺陷提供了有效的解决方案,产生了令人满意的结果.
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