Datiashvili R O, Shibaev E Iu, Chichkin V G, Oganesian A R
Khirurgiia (Mosk). 1992 Jul-Aug(7-8):39-45.
The article analyses modern methods for the restoration of of defects in the metacarpal bones, based on microsurgical techniques. A case is described in which a new method for one-stage reconstruction of the hand in combined traumatic defect in the first and second metacarpal bones and an extensive defect in the soft tissues on the back of the hand was used. The hand was reconstructed by means of a vascularized complex autograft on a common vascular pedicle which included two separate fragments of the scapula and a fascial flap of the scapular region. With the application of the described method successful functional rehabilitation of the injured hand was achieved in a short period. A good cosmetic effect of the plastic repair was also noted.
本文分析了基于显微外科技术修复掌骨缺损的现代方法。描述了一个病例，其中采用了一种新方法，对第一和第二掌骨合并创伤性缺损以及手背软组织广泛缺损进行一期手部重建。通过带共同血管蒂的血管化复合自体移植进行手部重建，该移植包括肩胛骨的两个独立碎片和肩胛区的筋膜瓣。应用所述方法，受伤手部在短时间内成功实现了功能康复。还注意到整形修复具有良好的美容效果。
