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一种用于瘢痕组织重建的新型筋膜皮瓣设计:病例报告

A Novel Fasciocutaneous Flap Design for Reconstructions in Scarred Tissue: A Case Report.

作者信息

Manohar Nishank, Vathulya Madhubari, Mahakalkar Sameer

机构信息

Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2021 Jul 15;13(7):e16402. doi: 10.7759/cureus.16402. eCollection 2021 Jul.

DOI:10.7759/cureus.16402
PMID:34401211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8364296/
Abstract

This article aims to introduce a technically easy and reliable flap design for the coverage of soft tissue defects in areas where traditional flap options are limited by trauma or scarring. We applied the boomerang design in cases with defects around the knee and also extrapolated it to other regions like the wrist and sacrum. Patients with soft tissue defects in regions with scarred tissues or limited flap reconstructive options were recruited. The procedures resulted in uneventful recovery and excellent cosmetic outcomes for the patients. The authors of this article recommend the usage of this uncomplicated flap design in areas with otherwise limited flap options due to restricted vascularity or surrounding scar tissue.

摘要

本文旨在介绍一种技术上简便且可靠的皮瓣设计,用于覆盖软组织缺损区域,在这些区域传统皮瓣选择因创伤或瘢痕形成而受限。我们将回旋镖皮瓣设计应用于膝关节周围有缺损的病例,并将其推广至手腕和骶骨等其他区域。招募了软组织缺损位于瘢痕组织区域或皮瓣重建选择有限的患者。这些手术使患者顺利康复且获得了极佳的美容效果。本文作者建议,在因血管分布受限或周围瘢痕组织而导致皮瓣选择有限的区域,使用这种简单的皮瓣设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/afa35763d696/cureus-0013-00000016402-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/a2aa4558d7e0/cureus-0013-00000016402-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/57e940d11b70/cureus-0013-00000016402-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/6fb077ca4639/cureus-0013-00000016402-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/4800be9f7e86/cureus-0013-00000016402-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/3598227e3974/cureus-0013-00000016402-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/afa35763d696/cureus-0013-00000016402-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/a2aa4558d7e0/cureus-0013-00000016402-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/57e940d11b70/cureus-0013-00000016402-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/6fb077ca4639/cureus-0013-00000016402-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/4800be9f7e86/cureus-0013-00000016402-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/3598227e3974/cureus-0013-00000016402-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c49/8364296/afa35763d696/cureus-0013-00000016402-i06.jpg

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本文引用的文献

1
Flap reconstruction of the knee: A review of current concepts and a proposed algorithm.膝关节皮瓣重建:当前概念综述及拟议算法
World J Orthop. 2014 Nov 18;5(5):603-13. doi: 10.5312/wjo.v5.i5.603.
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Free flap reconstruction of the knee: an outcome study of 34 cases.膝关节游离皮瓣重建:34例病例的结果研究
Ann Plast Surg. 2015 Jan;74(1):57-63. doi: 10.1097/SAP.0b013e31828d7558.
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Repairing proximal and middle lower-leg wounds with retrograde sartorius myocutaneous flap pedicled by perforating branches of medial inferior genicular artery or posterior tibial artery.
采用隐动脉降支或胫后动脉穿支为蒂的逆行股薄肌肌皮瓣修复中下段小腿创面
J Plast Reconstr Aesthet Surg. 2012 Sep;65(9):1158-64. doi: 10.1016/j.bjps.2012.03.041. Epub 2012 Apr 22.
4
The anteromedial thigh fasciocutaneous flap pedicled on the supragenicular septocutaneous perforator: application in 11 patients.以膝上隔皮穿支为蒂的股前内侧筋膜皮瓣:11例应用报告
Ann Plast Surg. 2011 Sep;67(3):275-8. doi: 10.1097/SAP.0b013e3181f89151.
5
Wound complications in total knee arthroplasty. Which flap is to be used? With or without retention of prosthesis?全膝关节置换术后的并发症。应该使用哪种皮瓣?是否保留假体?
Knee Surg Sports Traumatol Arthrosc. 2011 Jul;19(7):1060-8. doi: 10.1007/s00167-010-1328-5. Epub 2010 Dec 15.
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The propeller flap concept.螺旋桨皮瓣概念。
Clin Plast Surg. 2010 Oct;37(4):615-26, vi. doi: 10.1016/j.cps.2010.06.003.
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Lateral supragenicular pedicle perforator flap: clinical results and vascular anatomy.外侧髌上髁穿支皮瓣:临床结果与血管解剖。
J Plast Reconstr Aesthet Surg. 2011 Mar;64(3):381-5. doi: 10.1016/j.bjps.2010.05.029. Epub 2010 Aug 15.
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Reversed gracilis pedicle flap for coverage of a total knee prosthesis.股薄肌蒂皮瓣翻转覆盖全膝关节假体。
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The anterior tibialis artery perforator (ATAP) flap for traumatic knee and patella defects: clinical cases and anatomic study.用于创伤性膝关节和髌骨缺损的胫前动脉穿支(ATAP)皮瓣:临床病例与解剖学研究
Ann Plast Surg. 2010 Feb;64(2):210-6. doi: 10.1097/SAP.0b013e3181a13dd6.
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The sural artery perforator flap for coverage of defects of the knee and tibia.
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