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以远端为蒂的延长指掌侧固有动脉皮瓣联合自体截肢皮肤移植作为环形撕脱伤的挽救手术。

Extended distally based DMCA flap in combination with autologous amputate skin transplantation as a salvage procedure for ring avulsion injury.

作者信息

Wagner Till, Slater Nicholas, Ulrich Dietmar

机构信息

Department of Plastic and Reconstructive Surgery, Radboud University Hospital, Nijmegen, The Netherlands.

出版信息

Eur J Plast Surg. 2016;39:69-72. doi: 10.1007/s00238-015-1164-4. Epub 2015 Nov 14.

Abstract

UNLABELLED

A 23-year-old male student presented to our clinic with a traumatic complex ring avulsion of his right dominant index finger. Clinical evaluation revealed a complete distal amputation of the DIP joint with a laceration of the soft tissue at the middle phalanx and a rupture of the FDP-2-tendon far proximally. We hereby present the patient's clinical outcome after reconstruction with a distally based extended DMCA-II flap. To our own knowledge, this is the first report of an extended distally based DMCA flap for coverage of a class IVd ring avulsion injury in combination with autologous amputate skin transplantation.

LEVEL OF EVIDENCE

Level V, therapeutic study.

摘要

未标注

一名23岁男性学生因右手优势示指复杂创伤性环形撕脱伤前来我院就诊。临床评估显示,远侧指间关节完全离断,中节指骨软组织裂伤,指深屈肌腱-2在近端远处断裂。在此,我们报告该患者采用远端蒂延长的第二掌背动脉岛状皮瓣(DMCA-II皮瓣)重建后的临床结果。据我们所知,这是首例关于远端蒂延长的DMCA皮瓣联合自体截肢皮肤移植用于覆盖IVd级环形撕脱伤的报道。

证据水平

V级,治疗性研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/252e/4726715/90d23e4e3262/238_2015_1164_Fig1_HTML.jpg

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本文引用的文献

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