[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
1Grupo de Cirurgia da Mão e Microcirurgia Reconstrutiva, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.
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:
- 整形外科手术 整形外科手术
- 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.
- 评估其可预测性,可靠性和安全性,用于重建远端上肢缺陷.
主要方法:
- 对18名患者进行了回顾性观察性研究.
- 对片大小,受体区域,移植需求,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.
- 55.5%的病例需要额外的移植;四个病例需要皮肤移植进行颗粒化.
- 板有效地覆盖了指和第一个指尖,这对手部功能至关重要.
结论:
- 反向后部骨间动脉是远端上肢缺陷的安全有效的重建选择.
- 它提供了低发病率和良好的功能和美学结果,特别是在手和指的覆盖.
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