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一期环状肢体缩窄环松解联合直接环形皮肤闭合术治疗羊膜带综合征:14 例系列研究

One-stage circumferential limb ring constriction release and direct circular skin closure in amniotic band syndrome: a 14-case series.

机构信息

Service de chirurgie orthopédique pédiatrique, université de Paris, hôpital Necker-Enfants malades, AP-HP, Paris, France.

Service de chirurgie orthopédique pédiatrique, université de Paris, hôpital Necker-Enfants malades, AP-HP, Paris, France; Clinique Marcel-Sembat, Boulogne, France.

出版信息

Orthop Traumatol Surg Res. 2020 Nov;106(7):1353-1359. doi: 10.1016/j.otsr.2020.06.009. Epub 2020 Oct 1.

Abstract

The aim of the present study was to report results of direct circular suture after 1-stage circumferential resection of limb ring constriction in amniotic band syndrome. A multicentre retrospective study included 14 patients with amniotic band syndrome (mean age, 13.3 months) operated on between 2004 and 2019 by circumferential release of ≥1 ring constriction. Assessment was based on limb function and clinical scar aspect on the POSAS and Vancouver scales. Mean follow-up was 3.9 years. There were no scar-related, vascular or neurologic complications, postoperatively or at last follow-up. POSAS and Vancouver scores were satisfactory. One-stage circumferential release with direct closure is a simple technique that provides satisfactory functional and esthetic results.

摘要

本研究旨在报告 1 期环形切除羊膜带综合征肢体环状缩窄后直接环形缝合的结果。一项多中心回顾性研究纳入了 2004 年至 2019 年间接受环形松解术治疗≥1 个环状缩窄的 14 例羊膜带综合征患者(平均年龄 13.3 个月)。评估基于 POSAS 和温哥华量表上的肢体功能和临床瘢痕外观。平均随访 3.9 年。术后或末次随访时无瘢痕相关、血管或神经并发症。POSAS 和温哥华评分均满意。一期环形松解术加直接缝合是一种简单的技术,可获得满意的功能和美观效果。

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