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采用桡动脉掌浅支进行拇指再植术。

Thumb Replantation Using the Superficial Palmar Branch of the Radial Artery.

作者信息

Cho Sang Hyun, Bahar-Moni Ahmed Suparno, Park Hyun Chul

机构信息

Institute of Micro and Hand Surgery, Duson Hospital, Gyeonggi-do, Korea.

Department of Orthopedic Surgery, Bangladesh Institute of Health Sciences General Hospital, Dhaka, Bangladesh.

出版信息

J Hand Microsurg. 2016 Aug;8(2):106-8. doi: 10.1055/s-0036-1585058. Epub 2016 Jul 1.

DOI:10.1055/s-0036-1585058
PMID:27625540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5018973/
Abstract

The thumb is the most important part of the hand. If thumb is amputated, all efforts should be made to replant it to preserve hand functions. Good functional outcome can be obtained with successful thumb replantation than with other reconstructive surgery. We present a case of thumb amputation of a 44 -year-old male with severe damage to the soft tissues and bony structures of the radial part of the hand. We performed the replantation anastomosing the superficial palmar branch of the radial artery as donor artery as the proximal part of thumb digital arteries were severely damaged due to crush injury and got favorable result.

摘要

拇指是手部最重要的部分。如果拇指被截断,应尽一切努力进行再植以保留手部功能。与其他重建手术相比,成功的拇指再植能获得更好的功能结果。我们报告一例44岁男性拇指离断病例,其手部桡侧软组织和骨结构严重受损。由于挤压伤,拇指指动脉近端严重受损,我们以桡动脉掌浅支作为供体动脉进行吻合再植,取得了良好效果。

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本文引用的文献

1
[Anatomy study on micro transverse flap pedicled with superfical palmar branch of radial artery from palmar wrist].[以腕掌侧桡动脉浅支为蒂的微型横形皮瓣的解剖学研究]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Jul;27(7):864-8.
2
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J Reconstr Microsurg. 2010 Oct;26(8):529-38. doi: 10.1055/s-0030-1262953. Epub 2010 Jul 20.
3
Free flap from the superficial palmar branch of the radial artery (SPBRA flap) for finger reconstruction.桡动脉掌浅支游离皮瓣(SPBRA皮瓣)用于手指再造。
J Trauma. 2009 Apr;66(4):1173-9. doi: 10.1097/TA.0b013e31816a4eb7.
4
Fourteen cases of free thenar flap: a rare indication in digital reconstruction.14例大鱼际肌游离皮瓣:一种用于手指再造的罕见适应症。
Ann Plast Surg. 2008 Mar;60(3):260-6. doi: 10.1097/SAP.0b013e31806ab39f.
5
"A free thenar flap--a case report".游离大鱼际皮瓣——病例报告
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Vascular and neural anatomy of the thenar area of the hand: its surgical applications.手部鱼际区的血管与神经解剖:其外科应用
Plast Reconstr Surg. 1997 Jan;99(1):116-21. doi: 10.1097/00006534-199701000-00018.
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A new free thenar flap.一种新的游离小鱼际皮瓣。
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