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咬伤致掌骨头缺损的重建：两例病例报告

Reconstruction of a metacarpal head defect due to bite injury: two case reports.

作者信息

Nakanishi Akito, Kawamura Kenji, Omokawa Shohei, Shimizu Takamasa, Tanaka Yasuhito

机构信息

Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.

Department of Hand Surgery, Nara Medical University, Nara, Japan.

出版信息

Case Reports Plast Surg Hand Surg. 2018 Oct 25;5(1):62-67. doi: 10.1080/23320885.2018.1509717. eCollection 2018.

DOI:10.1080/23320885.2018.1509717
PMID:30397633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6211214/
Abstract

We present two rare cases of acute osteomyelitis after bite injury that were reconstructed with a third metacarpal base osteoarticular flap and a vascularised medial femoral trochlea osteocartilaginous flap. The outcomes show that a vascularised osteoarticular flap is a good treatment option for a metacarpal head defect.

摘要

我们报告了两例咬伤后急性骨髓炎的罕见病例，分别采用第三掌骨基底骨关节瓣和带血管的股骨内侧滑车骨软骨瓣进行重建。结果表明，带血管的骨关节瓣是治疗掌骨头缺损的良好选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/0cffded00de7/ICRP_A_1509717_F0010_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/53d55dd282e3/ICRP_A_1509717_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/a56b8b9fa6e0/ICRP_A_1509717_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/8870351489e6/ICRP_A_1509717_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/779e543313ac/ICRP_A_1509717_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/024180fa448b/ICRP_A_1509717_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/b174b5c9a315/ICRP_A_1509717_F0006_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/73af0b6925ff/ICRP_A_1509717_F0007_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/9e6096129529/ICRP_A_1509717_F0008_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/89a7a91106d5/ICRP_A_1509717_F0009_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/0cffded00de7/ICRP_A_1509717_F0010_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/53d55dd282e3/ICRP_A_1509717_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/a56b8b9fa6e0/ICRP_A_1509717_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/8870351489e6/ICRP_A_1509717_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/779e543313ac/ICRP_A_1509717_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/024180fa448b/ICRP_A_1509717_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/b174b5c9a315/ICRP_A_1509717_F0006_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/73af0b6925ff/ICRP_A_1509717_F0007_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/9e6096129529/ICRP_A_1509717_F0008_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/89a7a91106d5/ICRP_A_1509717_F0009_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979f/6211214/0cffded00de7/ICRP_A_1509717_F0010_C.jpg

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J Hand Surg Am. 2018 Feb;43(2):188.e1-188.e8. doi: 10.1016/j.jhsa.2017.09.014. Epub 2017 Oct 14.
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Vascularized medial femoral trochlea osteochondral flap reconstruction of advanced Kienböck disease.
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