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来自截肢部位的全厚皮片移植：急诊科床边Ⅲ度环形撕脱伤成功治疗的回顾

Full-Thickness Skin Graft From an Amputated Part: Review of Successful Treatment of Class III Ring Avulsion Injury at Bedside in the Emergency Department.

作者信息

Kelly Joseph P, Catoe Benjamin, MacDonald David H

机构信息

Orthopaedic Surgery Residency, Jack Hughston Memorial Hospital, Phenix City, USA.

Orthopaedic Surgery, The Hughston Foundation, Columbus, USA.

出版信息

Cureus. 2021 Apr 10;13(4):e14405. doi: 10.7759/cureus.14405.

DOI:10.7759/cureus.14405
PMID:33987055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8110198/
Abstract

Urbaniak class III ring avulsion injuries involve significant soft tissue and bone loss. Management typically focuses on immediate, temporary soft tissue coverage followed by a planned trip to the operating room for either amputation or replantation. While soft tissue coverage is of utmost importance, maintenance of digital length, functionality, and cost-effectiveness of viable treatment options should also be considered. The use of soft tissue from amputated structures is well documented, especially in the case of planned surgical amputations. This method has also been known to be used in the case of hand injuries with severe soft tissue compromise; however, there are no known, documented reports of acute treatment of injuries such as ring avulsions with such methods. In this report, we present a case of a class III ring avulsion injury treated utilizing a single-stage, full-thickness skin graft obtained from an amputated part in the emergency department.

摘要

乌尔巴尼亚克III级环形撕脱伤涉及严重的软组织和骨质缺损。治疗通常侧重于立即进行临时软组织覆盖，随后计划前往手术室进行截肢或再植手术。虽然软组织覆盖至关重要，但还应考虑保持手指长度、功能以及可行治疗方案的成本效益。使用截肢结构的软组织已有充分记录，尤其是在计划进行外科截肢的情况下。这种方法也已知用于软组织严重受损的手部损伤；然而，尚无关于使用此类方法急性治疗环形撕脱伤等损伤的已知文献报道。在本报告中，我们介绍了一例III级环形撕脱伤病例，该病例在急诊科采用从截肢部位获取的单阶段全厚皮片进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/f95ae28aadb5/cureus-0013-00000014405-i11.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/f95ae28aadb5/cureus-0013-00000014405-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/f658d485fecc/cureus-0013-00000014405-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/c68253bbecf7/cureus-0013-00000014405-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/fbe186ca040d/cureus-0013-00000014405-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/63ef615a53e1/cureus-0013-00000014405-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/9db45c69b306/cureus-0013-00000014405-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/0c58b504141a/cureus-0013-00000014405-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/215a7ee51666/cureus-0013-00000014405-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/aa3bc36c70b0/cureus-0013-00000014405-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/f082c136da18/cureus-0013-00000014405-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/8aa80e9c6dc8/cureus-0013-00000014405-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77d9/8110198/f95ae28aadb5/cureus-0013-00000014405-i11.jpg

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Cost-Effectiveness of Initial Revision Digit Amputation Performed in the Emergency Department Versus the Operating Room.急诊科与手术室进行初次翻修手指截肢术的成本效益分析。
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