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使用免费的第二个脚的小腿片与脚下静脉重建指尖或肉皮缺陷
Teng Xie1,2, You Li1, Liu Cao1,2
1Department of Hand Surgery, Suzhou Ruihua Orthopedic Hospital, Suzhou, China.
Microsurgery
|October 16, 2025
概括
这项研究引入了修改后的第二个脚自由技术,用于手指重建,提供了改进的美学和功能,对捐赠部位的影响最小. 这种创新方法成功地恢复了16位数,患者满意度很高.
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.
- 微手术 微手术是一种微手术.
背景情况:
- 传统的第二个手指的部自由板可能会对捐赠部位造成重大损伤,并损害手指重建中的美学效果.
- 紧急指部受伤的短静脉缺陷对传统的片技术构成挑战.
研究的目的:
- 介绍一项创新的收获技术,用于用于指尖或飞行肉质缺陷重建的第二个脚自由.
- 为了评估这种修改的片技术的临床结果和供体部位的发病率.
主要方法:
- 一组15名患者 (16个数字) 患有手指脉/尖端缺陷,经过立即重建,使用自由的第二个脚片与脚下静脉移植.
- 手术过程涉及到足部血管和神经的精确微血管解剖,以数字对应物.
- 术后评估包括两点歧视,修改的温哥华痕量表,密歇根手部结果问卷和总活跃关节移动性.
主要成果:
- 所有16个板都没有经历术后并发症,平均随访时间为11个月.
- 功能性结果显示,平均两点差别为9毫米,关节流动性良好.
- 审美结果是有利的,在捐赠者部位的痕最小,患者满意度高 (13/15完全满意).
结论:
- 修改后的第二个自由的脚叶片技术为数字肉/尖端重建提供了出色的功能和审美效果.
- 这种方法最大限度地降低了供体部位的发病率,使其成为广泛临床采用的有价值的选择.
- 该技术为复杂的手指缺陷重建提供了一个成功的替代方案.
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