[带蒂桡侧腕屈肌肌瓣在前臂近端创面修复中的应用结果]
[Application of pedicled muscular flaps of brachioradialis in repairing wounds at proximal forearm resulted].
作者信息
Liang Gang, Yu Guang, Sun Jian-Ping
机构信息
Department of Burns and Plastic Surgery, the Second Hospital of Shaoxing City, Shaoxing 312000, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2009 Sep;25(5):340-3.
OBJECTIVE
To explore the clinical effects of pedicled muscular flaps of brachioradialis in repairing wounds at proximal forearm resulted from hot crush injury.
METHODS
From February 2003 to December 2008, 5 wounds at proximal forearm resulted from hot crush injury were repaired with pedicled muscular flaps of brachioradialis. The size of muscular flaps ranged from 6 cm x 4 cm - 9 cm x 5 cm. The wounds at donor sites were closed directly or by free skin grafts.
RESULTS
All the muscular flaps of brachioradialis were survived completely. 4 patients were followed up for 3 to 36 months. The cosmetic and functional results were satisfactory both in recipient areas and in donor sites.
CONCLUSIONS
Pedicled muscular flap of brachioradialis can not only repair wounds at proximal forearm resulted from hot crush injury, but also repair extensor muscle defects. It is an ideal method and is very practical.
目的
探讨带蒂桡侧腕长伸肌肌瓣修复前臂近端热压伤创面的临床效果。
方法
2003年2月至2008年12月，应用带蒂桡侧腕长伸肌肌瓣修复5例前臂近端热压伤创面。肌瓣大小为6 cm×4 cm～9 cm×5 cm。供区创面直接缝合或游离植皮覆盖。
结果
所有带蒂桡侧腕长伸肌肌瓣全部成活。4例患者获3～36个月随访，受区及供区外观及功能满意。
结论
带蒂桡侧腕长伸肌肌瓣不仅能修复前臂近端热压伤创面，还能修复伸肌缺损，是一种理想且实用的方法。
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