反向后部骨间动脉:在18个连续病例中的指示,技术和并发症
Alvaro Baik Cho1, Antonio Isidoro de Sousa Neto1, Kríssia Caroline Soares Franco1
1Hand Surgery and Reconstructive Microsurgery Group, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Revista brasileira de ortopedia
|December 12, 2025
概括
反向后部骨间动脉板显示,上肢软组织缺陷的成功率为94.45%. 这种折叠板是一种安全有效的重建选择,特别适用于手和指.
科学领域:
- 整形外科 整形外科 整形外科
- 整形外科 整形外科 整形外科
- 微手术 微手术是一种微手术.
背景情况:
- 远端上肢软组织缺陷存在重建方面的挑战.
- 后骨间动脉是这些缺陷的潜在解决方案.
研究的目的:
- 为了评估反向后部骨间动脉的成功率,可预测性,可靠性和安全性.
- 评估其在重建远端上肢软组织病变方面的有效性.
主要方法:
- 追溯观察性研究18名患者进行后部骨内动脉片手术.
- 对片大小,受体区域,移植要求,临床结果和并发症的分析.
主要成果:
- 实现了94.45%的翻盖成功率,其中有一次总损失和一次部分损失.
- 大多数患者经历了良好的愈合,没有重大并发症.
- 超过一半的病例 (55.5%) 需要额外的移植;在四个病例中,片不足.
结论:
- 后骨间动脉是远端上肢缺陷的安全有效选择,特别是在手和指上.
- 它提供了较低的发病率和良好的功能和美学结果.
- 对诸如指和第一个指关节等功能区域有好处.
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