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六周龄 Allen 4 型断肢再植中皮瓣延迟再定位(GRF):病例报告。

Delayed Graft Reposition on Flap (GRF) in Six Week Old Allen Type 4 Amputation: Case Report.

机构信息

Department of Hand and Wrist Surgery, Jehangir Hospital, Pune, India.

出版信息

J Hand Surg Asian Pac Vol. 2021 Mar;26(1):92-95. doi: 10.1142/S2424835521720012.

Abstract

An exceptional case like our patient who was a 24-year-old man presented 6 weeks after type 4 Allen amputation to his right index finger where primary surgical stump closure was done, presented to us with the amputated distal part warm preserved. The reposition of distal amputated part using the authors described GRF (Graft Reposition on Flap) technique was done and followed. Good consolidation and bone graft union, good nail with near normal pulp and normal sensation with good functional outcome was achieved at the one-year final follow up.

摘要

我们遇到了一个特殊的病例,患者是一名 24 岁男性,在右手食指第四型 Allen 切断术后 6 周就诊,当时进行了一期残端闭合。我们接诊时,患者的断指远端已被妥善保存。我们使用作者描述的 GRF(皮瓣上移植骨)技术对断指远端进行了复位,并进行了后续处理。在最终随访的 1 年时,患者的断指愈合良好,骨折愈合良好,指甲接近正常,牙髓正常,感觉良好,功能恢复良好。

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