在手术中使用全移植 - "现成"肌重建:一个范围审查
Ahmed Hagiga1, Daphne Le Min Chiew2, Mohamed A Radhi3
1Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK.
Plastic surgery (Oakville, Ont.)
|January 29, 2025
概括
肌合移植显示出对上肢重建的前景,特别是在严重创伤的情况下. 虽然功能结果是混合的,但患者满意度很高,尽管需要对长期疗效和并发症进行更多研究.
科学领域:
- 整形外科手术 整形外科手术
- 再生医学是一种再生医学.
- 肌肉骨研究 研究
背景情况:
- 肌缺陷通常需要移植来修复.
- 移植在膝关节带重建中很常见,但在上肢肌手术中不那么成熟.
- 关于在手和上肢肌重建中使用allograft存在知识差距.
研究的目的:
- 在上肢重建中绘制肌全移植利用的当前实践图.
- 识别现有的关于手部外科手术中整体移植使用的文献.
- 确定研究缺口,以便在未来对肌移植进行调查.
主要方法:
- 对MEDLINE和SCOPUS数据库进行了范围审查.
- 包括到2022年6月以英语出版的关于上肢肌全移植的研究.
- 数据提取的重点是患者人口统计,结果,并发症和随访.
主要成果:
- 确定了六项涉及116名患者和148名全移植的研究.
- 在72.9%的病例中,功能结果被评为"好"或"合理",而25.8%的病例被评为"差".
- 所有被评估的患者都报告至少部分或相当满意allograft结果.
结论:
- 肌合移植代表了上肢重建的潜在有希望的选择,特别是在复杂的创伤或救援场景中.
- 进一步的研究对于评估疗效,长期结果和并发症至关重要.
- 需要对手移植和标准化康复方案进行比较研究.
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