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应用股前外侧皮瓣和腹股沟皮瓣组合的远距离皮瓣重建整个手部撕脱伤 1 例。

A case of degloving injury of the whole hand reconstructed by a combination of distant flaps comprising an anterolateral thigh flap and a groin flap.

机构信息

Department of Orthopaedic Surgery, Rinko Hospital, Aichi Prefecture, Japan.

出版信息

J Reconstr Microsurg. 2011 Jun;27(5):299-302. doi: 10.1055/s-0031-1278708. Epub 2011 May 18.

Abstract

A case of degloving injury of the whole hand reconstructed by a combination of an anterolateral thigh (ALT) flap and a groin flap applied as a pedicled distant flap was reported. Despite complications of congestion of the ALT flap and superficial infection, both flaps were severed at 4 weeks after transplantation, and a useful hand was finally reconstructed. The combination of a pedicled groin flap and an ALT flap is not optimal for reconstruction of a whole-hand degloving injury but is considered to be an available procedure for covering a large skin defect without microsurgical procedures.

摘要

本文报告了 1 例应用股前外侧皮瓣(ALT)和股前外侧皮瓣作为带蒂游离皮瓣联合修复全手脱套伤的病例。尽管 ALT 皮瓣出现淤血和浅表感染等并发症,但在移植后 4 周时,还是将两者均切断,最终成功地重建了一只有用的手。带蒂股前外侧皮瓣联合 ALT 皮瓣并不适合用于全手脱套伤的重建,但对于覆盖大面积皮肤缺损而无需进行显微外科手术的情况,这种方法被认为是可行的。

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