在恶性皮肤瘤切除后,侧臂自由在高跟鞋重建中的有用性:一项观察性研究
Soyeon Jung1, Sodam Yi2, Seokchan Eun2
1Department of Plastic and Reconstructive Surgery, Hallym University College of Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong 18450, Republic of Korea.
Journal of clinical medicine
|January 10, 2026
概括
免费的侧臂肌皮片为皮肤癌切除后的脚跟重建提供了可靠的解决方案. 这种方法表现出了卓越的功能和美学结果,所有片都存活下来,患者移动性得分显著改善.
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
- 重建性手术是一种重建性手术.
背景情况:
- 脚跟重建带来了挑战,因为需要耐用的软组织来抵抗机械应力.
- 免费的皮带片是有效的,但可能涉及更长的操作时间和故障的风险.
- 在部重建中评估特定片类型的功能结果对于优化患者护理至关重要.
研究的目的:
- 为了评估脚跟重建的功能结果,使用自由的侧臂皮片.
- 分析片存活率,并发症概况和患者报告的功能评分后重建.
主要方法:
- 在脚皮肤癌 (2014-2020年) 的广泛切除后,对8名患者进行后期分析,这些患者接受了脚跟重建,并使用了自由的侧臂板.
- 通过使用下肢功能尺度 (LEFS) 和美国整形足和脚学会 (AOFAS) 评分,评估术前数据,部存活率,并发症和功能结果.
- 术后至少12个月,盲目检查员进行了功能评估.
主要成果:
- 所有八个自由板都幸存下来,只有一个情况出现了拥堵. 所有患者都取得了令人满意的美学和功能结果.
- 在功能评分中观察到显著的改善:LEFS从手术前的平均28增加到术后的57,AOFAS评分从45增加到61.
- 轻微的,保守地管理的供体部位并发症包括过度缩性痕 (25%) 和短暂的感觉变化 (38%).
结论:
- 免费的侧臂皮带片是鞋跟重建的可靠和有效的选择,提供良好的耐用性和轮.
- 这种技术产生了可接受的功能和美学结果,显著改善了患者的流动性和生活质量.
- 它特别适用于需要强大的软组织覆盖的小到中等尺寸的脚跟缺陷.
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