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使用逆行同指背侧皮瓣覆盖指尖的神经血管单元。

Coverage of the neurovascular unit of the fingertip using a reverse homodigital dorsal flap.

作者信息

Perrotta Rosario E, Stivala Alessio, Virzì Dario, Grella Roberto, Pagliara Domenico, Brongo Sergio

机构信息

Department of Medical and Surgery Specialties, Section of Plastic Surgery, University of Catania, Cannizzaro Hospital, 829 Via Messina, I-95126 Catania, Italy.

Department of Orthopedic, Traumatologic, Rehabilitative and Plastic-Reconstructive Sciences, Second University of Naples, 3 L. De Crecchio, I-80138 Naples, Italy.

出版信息

Case Rep Surg. 2014;2014:315081. doi: 10.1155/2014/315081. Epub 2014 Jan 9.

DOI:10.1155/2014/315081
PMID:24523980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3912637/
Abstract

The exposure of bone, tendons, vessels, and nerves in a digital defect is one of the most frequent and severe problems to solve in hand surgery and current approaches are still disappointing. We show the use of an homodigital adipofascial flap taken from the same finger for covering the pulpar defect in a one-step surgical technique able to preserve the digital artery.

摘要

手指缺损时骨、肌腱、血管和神经的外露是手外科中最常见且棘手的问题之一，目前的治疗方法仍不尽人意。我们展示了一种采用取自同一手指的同指脂肪筋膜瓣，通过一步手术技术覆盖指腹缺损，同时保留指动脉的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146c/3912637/a08b81c1d612/CRIM.SURGERY2014-315081.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146c/3912637/1cd3359f4985/CRIM.SURGERY2014-315081.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146c/3912637/a08b81c1d612/CRIM.SURGERY2014-315081.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146c/3912637/1cd3359f4985/CRIM.SURGERY2014-315081.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146c/3912637/a08b81c1d612/CRIM.SURGERY2014-315081.002.jpg

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1
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本文引用的文献

1
Homodigital dorsal adipofascial reverse flap: clinical applications.
Plast Reconstr Surg. 2011 Jun;127(6):162e-163e. doi: 10.1097/PRS.0b013e318213a2ba.
2
Extended applications of distally based axial adipofascial flaps for hand and digits defects.远端蒂轴型脂肪筋膜皮瓣在手及手指部缺损中的应用扩展。
J Plast Reconstr Aesthet Surg. 2010 Dec;63(12):2117-22. doi: 10.1016/j.bjps.2009.11.020. Epub 2009 Dec 14.
3
Reverse homodigital dorsal radial flap of the thumb.
Plast Reconstr Surg. 2006 Mar;117(3):920-6. doi: 10.1097/01.prs.0000200665.73624.6d.
4
The dorsal reverse adipofascial flap for fingertip reconstruction.用于指尖重建的背侧逆行脂肪筋膜瓣
Plast Reconstr Surg. 2003 Jul;112(1):121-5; discussion 126-8. doi: 10.1097/01.PRS.0000066165.23202.45.