掌长肌腱皮动脉化静脉游离皮瓣修复复合缺损中的指间侧副韧带。
Palmaris longus tendocutaneous arterialized venous free flap to reconstruct the interphalangeal collateral ligament in composite defects.
作者信息
Woo Sang Hyun, Lee Young Keun, Kim Joo Yong, Kim Young Woo, Cheon Ho June
机构信息
1 W Institute for Hand and Reconstructive Microsurgery, W Hospital, Daegu, Korea.
2 Department of Orthopedic Surgery of Chonbuk National University Medical School and Research Institute of Clinical Medicine, Chonbuk National University, Jeonju, Korea.
出版信息
J Hand Surg Eur Vol. 2018 Jun;43(5):518-523. doi: 10.1177/1753193417735455. Epub 2017 Oct 11.
UNLABELLED
We present 12 cases in which palmaris longus tendocutaneous arterialized venous free flaps were used for the reconstruction of the collateral ligament in compound defects of digits. There were nine cases involving the interphalangeal joint of the fingers and three of the interphalangeal joints of the thumb. The venous flaps survived completely in 10 of the 12 cases. In 11 cases, there were excellent functional results for joint stability, pain, total active motion and pinch power. In all 12 cases, a pain-free joint with excellent stability was achieved after surgery. The palmaris longus tendocutaneous arterialized venous free flap is a good option for reconstruction of composite defects of the collateral ligament of the interphalangeal joint.
LEVEL OF EVIDENCE
IV.
未标注
我们报告了12例使用掌长肌腱皮动脉化静脉游离皮瓣重建手指复合缺损侧副韧带的病例。其中9例涉及手指指间关节，3例涉及拇指指间关节。12例中有10例静脉皮瓣完全存活。11例在关节稳定性、疼痛、总主动活动度和捏力方面功能结果良好。所有12例术后均获得无痛且稳定性良好的关节。掌长肌腱皮动脉化静脉游离皮瓣是重建指间关节侧副韧带复合缺损的良好选择。
证据级别
IV级。
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