用于覆盖手掌和手背部创伤的双叶腹股沟皮瓣。
A bilobed groin flap for coverage of traumatic injury to both the volar and dorsal hand surfaces.
作者信息
Brooks Trevor M, Jarman Abdulaziz T, Olson Jaret L
机构信息
Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta.
出版信息
Can J Plast Surg. 2007 Spring;15(1):49-51. doi: 10.1177/229255030701500101.
BACKGROUND
There are many methods available for coverage of both the volar and dorsal hand surfaces in traumatic injury. All of these surgical procedures allow for ample coverage of the defect, but have the major drawback of needing multiple donor sites. In the present report, a case of a complex crush injury to the hand in which both volar and dorsal surfaces received traumatic injury is presented. A bilobed groin flap pedicled on the superficial circumflex iliac artery was fashioned to cover the entire defect. Like many other described flaps, the bilobed groin flap resulted in a favourable functional and cosmetic result for the patient, but with the unique advantage of requiring a single donor site.
METHODS
A bipedicled groin flap was raised from distal to proximal, and the flaps inset onto both the dorsal and volar hand defects.
RESULTS
The patient regained adequate function of his hand, and was able to return to work full-time as a manual labourer.
CONCLUSION
The bilobed groin flap appears to be a valuable option for covering complex hand injuries involving both the volar and dorsal surfaces of the hand.
背景
对于手部创伤中手掌和手背表面的覆盖，有多种方法可供选择。所有这些外科手术都能充分覆盖缺损，但主要缺点是需要多个供区。在本报告中，呈现了一例手部复杂挤压伤病例，手掌和手背表面均受到创伤。制作了以旋髂浅动脉为蒂的双叶腹股沟皮瓣来覆盖整个缺损。与许多其他描述的皮瓣一样，双叶腹股沟皮瓣为患者带来了良好的功能和美容效果，但具有只需一个供区的独特优势。
方法
从远端向近端掀起双蒂腹股沟皮瓣，并将皮瓣嵌入手掌和手背的缺损处。
结果
患者手部恢复了足够的功能，能够作为体力劳动者全职重返工作岗位。
结论
双叶腹股沟皮瓣似乎是覆盖涉及手掌和手背表面的复杂手部损伤的一个有价值的选择。
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