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动静脉畸形切除术后同时行对掌肌成形术和游离股薄肌瓣重建大鱼际

Simultaneous Opponensplasty and Free Gracilis Muscle Flap for Thenar Reconstruction after Arteriovenous Malformation Resection.

作者信息

Garcia-Vilariño Elena, Thione Alessandro, Salmeron-Gonzalez Enrique, Sanchez-Garcia Alberto, Perez-Garcia Alberto

机构信息

Department of Plastic Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain.

出版信息

Indian J Plast Surg. 2020 Mar;53(1):147-149. doi: 10.1055/s-0040-1709958. Epub 2020 Apr 17.

DOI:10.1055/s-0040-1709958
PMID:32367932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7192698/
Abstract

We report the case of a thenar eminence arteriovenous malformation presenting with continuous growth and pain that was treated with surgical excision after embolization. Extracapsular resection compromised thenar muscles which function was reconstructed with extensor indicis proprius transfer for opposition and abduction, and neurotized free gracilis muscle flap for opposition and adduction, as well as thenar eminence reconstruction.

摘要

我们报告一例大鱼际肌动静脉畸形病例，该畸形持续生长并伴有疼痛，在栓塞治疗后接受了手术切除。囊外切除损伤了大鱼际肌，其功能通过示指固有伸肌转移进行对掌和外展功能重建，通过带神经的游离股薄肌瓣进行对掌和内收功能重建，以及大鱼际肌重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/6430c70434f1/10-1055-s-0040-1709958_00234_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/2323420f3307/10-1055-s-0040-1709958_00234_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/3af51490f0e4/10-1055-s-0040-1709958_00234_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/e1d70835b6fa/10-1055-s-0040-1709958_00234_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/6430c70434f1/10-1055-s-0040-1709958_00234_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/2323420f3307/10-1055-s-0040-1709958_00234_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/3af51490f0e4/10-1055-s-0040-1709958_00234_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/e1d70835b6fa/10-1055-s-0040-1709958_00234_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed5/7192698/6430c70434f1/10-1055-s-0040-1709958_00234_04.jpg

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Simultaneous Opponensplasty and Free Gracilis Muscle Flap for Thenar Reconstruction after Arteriovenous Malformation Resection.动静脉畸形切除术后同时行对掌肌成形术和游离股薄肌瓣重建大鱼际
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本文引用的文献

1
Vascular malformations of upper and lower extremity - from radiological interventional therapy to surgical soft tissue reconstruction - an interdisciplinary treatment.上下肢血管畸形——从放射介入治疗到手术软组织重建——一种多学科治疗方法
Clin Hemorheol Microcirc. 2017;67(3-4):355-372. doi: 10.3233/CH-179216.
2
Extensor indicis proprius opponensplasty - the burkhalter revisited.示指固有伸肌对掌成形术——再探伯克哈特法
J Hand Microsurg. 2012 Dec;4(2):47-9. doi: 10.1007/s12593-012-0066-y. Epub 2012 Aug 30.
3
Functional gracilis flap in thenar reconstruction.
用于大鱼际重建的股薄肌功能肌皮瓣
J Plast Reconstr Aesthet Surg. 2007;60(7):828-34. doi: 10.1016/j.bjps.2007.03.001. Epub 2007 Apr 19.
4
Extensor indicis proprius opponensplasty.示指固有伸肌对掌成形术
J Bone Joint Surg Am. 1973 Jun;55(4):725-32.