De la Garza Mauricio, Sauerbier Michael, Günter Germann, Cetrulo Curtis L, Bueno Reuben A, Russell Robert C, Neumeister Michael W
The Institute for Plastic Surgery, Southern Illinois University, 747 North Rutledge Street, Springfield, IL 62702- 6700, USA.
Department for Plastic, Hand and Reconstructive Surgery, BG Trauma Center, Friedberger Landstrasse 430, Frankfurt am Main 60389, Germany; Department for Plastic, Hand and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwig Guttman Street 13, Ludwigshafen 67071, Germany.
Hand Clin. 2017 May;33(2):347-361. doi: 10.1016/j.hcl.2016.12.007.
Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly important in the hand. Coverage of tendons, ligaments, joints, vessels, nerves, and bones of the hand requires healthy vascularized tissue to maintain viability and function. Local flaps or regional flaps may be within the burn zone of injury. Refined microvascular free tissue transfer techniques offer free tissue transfer as a procedure that can be safely performed.
重症监护和烧伤患者复苏方面的改善已使烧伤患者的存活率提高。初始复苏、早期切除烧伤组织、预防烧伤创面脓毒症以及创面覆盖仍然是主要的治疗手段。许多烧伤创面需要复杂的重建。这在手部尤为重要。手部肌腱、韧带、关节、血管、神经和骨骼的覆盖需要健康的带血管组织来维持活力和功能。局部皮瓣或区域皮瓣可能位于损伤的烧伤区内。精细的微血管游离组织移植技术使游离组织移植成为一种可以安全实施的手术。
