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优化肢体救援在关键的残废的四肢:一个阶段的急性修复与双边前侧大腿穿孔片

Yining Lan^1,2, Luqi Guo¹, Dedi Tong³

¹Department of Plastic and Reconstructive Surgery, Chinese Academy of Medical Science Peking Union Medical College Hospital, Beijing, China.

International journal of surgery (London, England)

|October 15, 2025

概括

一个单阶段的双边前侧大腿 (ALT) 自由重建安全地治疗复杂的四肢创伤,提供稳定的覆盖和改善四肢功能. 这种方法避免了分阶段的程序,以获得更好的患者结果.

科学领域:

微手术微手术是一种微手术.
重建性手术是一种重建性手术.
肢体的救援工作

背景情况:

复杂的远端肢体创伤带来了广泛的软组织损失和血管损伤的挑战.
前侧大腿 (ALT) 自由是常见的解决方案,但较大的缺陷可能需要多个,增加并发症风险.
为了解决这些局限性,开发了一种新的单阶段双边ALT自由翻页战略.

研究的目的:

评估一阶段双边ALT自由重建复杂的远端四肢创伤的安全性和有效性.
评估接受此手术的患者的功能结果和膜活力.
确定这种方法是否可以提高肢体救援率和功能恢复.

主要方法:

在2018年至2020年期间,六名患有严重远端肢体创伤的患者使用双边ALT免费片进行了一阶段重建.
叶片是基于接收器的可用性,以并联或平行配置进行血管解剖.
使用DASH和LEFS得分测量功能性结局,随访5年. 在四名患者中进行了术后光子计数CT血管造影.

主要成果:

所有双边ALT自由板都在没有重大并发症的情况下存活下来.
患者实现了稳定的软组织覆盖和令人满意的功能恢复,所有病例的得分都有所改善.
光子计数CT血管造影证实了评估患者的专利解和强大的膜 perfusion. 一名儿科患者表现出正常的步态和肢体发育.

结论:

一个阶段的双边ALT自由重建是复杂的远端四肢创伤的安全和可行的选择.
这种技术可提供可靠的伤口覆盖,并促进及时的功能恢复,避免需要分阶段程序.
持续的片活力和功能收益支持这种方法,以改善肢体救援和改善患者的治疗结果.

关键词:

前侧侧的大腿板.自由重建的重建肢体救援救援肢体救援截肢的肢体被残伤了.用光子计数CT血管造影进行CT血管造影.血管的解剖学是指血管的解剖学.

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