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[自由侧臂组织在修复复杂的手指伤口中的有效性]
1Department of Orthopedics, the 920th Hospital of Joint Logistic Support Force of PLA, Kunming 650032, China.
Zhonghua shao shang yu chuang mian xiu fu za zhi
|January 29, 2026
概括
自由的侧臂组织板有效修复复杂的手指伤口,包括皮肤和骨缺陷. 这项研究显示了很好的片生存,感觉和功能,使其成为一个可行的手术选择.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 微手术 微手术是一种微手术.
背景情况:
- 复杂的手指伤害往往涉及显著的皮肤,软组织和骨缺陷.
- 传统的修复方法可能在实现最佳功能和美学结果方面存在局限性.
- 侧臂组织片提供了一个潜在的解决方案,由于其丰富的血管性和适应性.
研究的目的:
- 为了评估自由侧臂组织在复杂的手指损伤重建的有效性.
- 为了评估手指缺陷的移植后的功能和美学结果.
主要方法:
- 复杂指伤的8名患者的回顾性病例系列 (2020年1月 - 2023年12月).
- 使用了自由的侧臂组织片,包括球状和嵌合骨质皮肤变异.
- 板结合了后臂皮肤神经的感觉和三手臂的肌神经,以重建肌.
主要成果:
- 所有组织片都显示了手术后的成功存活.
- 在平均13.5个月的随访中,观察到很好的片外观和质地.
- 功能恢复包括感官恢复 (S2-S3) 和指的背部弹性改善;骨存活率通过X射线证实.
结论:
- 由于穿孔器的丰富性和解剖学一致性,自由的侧臂组织板适合复杂的手指伤口修复.
- 该手术技术相对简单,产生有利的捐赠者和接受者网站结果.
- 这种方法提供了一个可靠的选择,可以在具有挑战性的手指伤害中恢复形状和功能.
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