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骨自由的捐赠部位发病率:对捐赠部位伤口愈合的技术依赖性比较分析

Jakob Fenske¹, Henri Kreiker¹, Philipp Lampert¹

¹Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

|November 5, 2025

概括

骨自由 (FFF) 捐赠部位的并发症很高,但伤口关闭技术会影响愈合. 使用分厚皮肤移植 (STSG) 与负压伤口治疗 (NPWT) 或两阶段关闭可减少并发症.

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.
伤口愈合治愈伤口愈合

背景情况:

骨自由 (FFF) 对于大脸部重建至关重要.
捐赠者部位的发病率是一个重大问题,受关闭技术的影响.
关闭技术的比较数据有限且异质.

研究的目的:

在FFF中使用皮肤分析捐赠者部位的伤口愈合并发症.
比较不同的关闭技术,包括一种新的两阶段方法.
确定伤口愈合并发症的预测因素.

主要方法:

对211个FFF程序 (2017-2024) 的回顾性审查.
在手术后60天内评估捐赠者部位并发症.
按封闭技术分层:STSG +/- NPWT与双阶段 (NPWT然后是STSG).
多变量逻辑回归用于并发症预测器.

主要成果:

整体并发症率为50.2%,伤口愈合障碍和皮肤死最常见.
没有NPWT的STSG患病率最高 (91.0%).
两个阶段的关闭显示了与NPWT的一阶段STSG相比的并发症率.
带有NPWT和两阶段关闭的STSG是保护因素 (p<0.05).

结论:

在FFF中,捐赠部位的发病率受到关闭技术的显著影响.
一个或两个阶段的STSG与NPWT是首选的伤口管理策略.
两个阶段的关闭显示了广泛缺陷的希望,需要未来的验证.

关键词:

捐赠者网站的关闭长腿骨免费翻盖,可以自由翻盖.负压伤口治疗疗法负压伤口治疗主要关闭的主要关闭皮肤移植皮肤移植两个阶段的关闭关闭.

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