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同时使用隐神经筋膜皮瓣游离组织瓣和外固定架治疗犬前臂远端损伤

Concurrent use of a medial saphenous fasciocutaneous free tissue flap and external skeletal fixation for treatment of a distal antebrachial injury in a dog.

作者信息

Sereda Colin W, Lanz Otto I, Cross Alan R, Anderson Gregory M

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610-0126, USA.

出版信息

Vet Surg. 2003 May-Jun;32(3):238-41. doi: 10.1053/jvet.2003.50030.

DOI:10.1053/jvet.2003.50030
PMID:12784200
Abstract

OBJECTIVE

To report the surgical management of a traumatic distal antebrachial wound using a medial saphenous fasciocutaneous free tissue flap and a type I external skeletal fixator (ESF).

STUDY DESIGN

Case report.

ANIMALS

A 7-year-old spayed, female Labrador retriever.

RESULT

Wound coverage and pancarpal arthrodesis were accomplished during a single anesthetic episode using a medial saphenous fasciocutaneous free tissue flap and type I ESF. A second surgical procedure was performed to expedite healing of part of the original wound that was initially left to heal by second intention.

CONCLUSIONS

Free tissue transfer can be used in combination with an ESF for repair of distal antebrachial wounds, allowing orthopedic repair and soft tissue coverage in a single anesthetic episode.

CLINICAL RELEVANCE

Concurrent use of free tissue transfer and carpal arthrodesis with an ESF could be used for repair of complex antebrachial wounds without need for multiple procedures, extended hospitalization, and increased cost.

摘要

目的

报告使用隐静脉内侧筋膜皮瓣游离组织瓣和I型外骨骼固定器(ESF)对创伤性前臂远端伤口进行手术治疗的情况。

研究设计

病例报告。

动物

一只7岁已绝育的雌性拉布拉多猎犬。

结果

在单次麻醉过程中,使用隐静脉内侧筋膜皮瓣游离组织瓣和I型ESF完成了伤口覆盖和全腕关节融合术。进行了第二次外科手术,以加速最初留待二期愈合的部分原伤口的愈合。

结论

游离组织移植可与ESF联合用于修复前臂远端伤口,在单次麻醉过程中实现骨科修复和软组织覆盖。

临床意义

游离组织移植与ESF联合进行腕关节融合术可用于修复复杂的前臂伤口,无需进行多次手术、延长住院时间和增加费用。

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