Yang Xuekang, Fang Zhuoqun, Liu Mengdong, Zhang Yue, Chen Qiaohua, Tao Ke, Han Juntao, Hu Dahai
Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China.
J Burn Care Res. 2019 Feb 20;40(2):242-245. doi: 10.1093/jbcr/irz010.
This study aimed to introduce a novel technique for reconstructing electricity-damaged fingers using a method combining the free vascularized anterolateral thigh fascia lata flap with skin grafting. From February 2015 to March 2017, 11 patients were enrolled in this retrospective case series. All patients suffered from electrical injury of the fingers and had severe soft tissue defects, with the exposure of tendon, vessels, or nerves. All finger wounds were covered using free vascularized anterolateral thigh fascia lata flaps combined with skin grafting. Eleven fascia flaps completely survived. Two patients suffered from partial grafting skin necrosis due to wound infection and subcutaneous hematoma, separately, which eventually healed after re-graft and dressing changes. All patients achieved satisfactory function and appearance without a need for repeated grafting. Except for the scar, no donor-site morbidity was reported. The present study provided an attractive option for treating electricity-damaged fingers with good outcomes and minimal donor-site morbidity.
本研究旨在介绍一种采用游离带血管蒂股前外侧阔筋膜瓣联合植皮重建电损伤手指的新技术。2015年2月至2017年3月，11例患者纳入本回顾性病例系列研究。所有患者均有手指电损伤且伴有严重软组织缺损，肌腱、血管或神经外露。所有手指创面均采用游离带血管蒂股前外侧阔筋膜瓣联合植皮覆盖。11块筋膜瓣全部成活。2例患者分别因伤口感染和皮下血肿导致部分植皮坏死，经再次植皮及换药后最终愈合。所有患者均获得满意的功能和外观，无需再次植皮。除瘢痕外，未报告供区并发症。本研究为治疗电损伤手指提供了一种有吸引力的选择，疗效良好且供区并发症极少。
