应用带顶角推进皮瓣的尤纳氏靴治疗下肢重建可获得优异效果。
Unna Boot With Keystone Advancement Flap Leads to Excellent Outcomes for Lower Extremity Reconstruction.
出版信息
J Drugs Dermatol. 2021 Dec 1;20(12):1308-1312. doi: 10.36849/jdd.5915.
BACKGROUND
The reconstruction of lower extremity defects can be technically challenging. The keystone island perforator flap is a workhorse reconstructive option for difficult-to-repair regions, including the lower limb. The goal of this study is to evaluate outcomes using the keystone flap in combination with the zinc oxide compression dressing (Unna boot) for repair of lower extremity defects.
METHODS
We retrospectively evaluated 96 patients who underwent resection of malignancies or atypical neoplasms on the lower legs. A total of 114 defects were repaired with the keystone flap in combination with the Unna boot. Post-operative outcomes were assessed.
RESULTS
The combination of the keystone flap with postoperative Unna boot application led to excellent outcomes. There was no association between complication rates and patient co-morbidities.
CONCLUSION
The combination of the keystone flap with the Unna boot is a safe and efficacious approach for reconstruction of lower extremity defects. J Drugs Dermatol. 2021;20(12):1308-1312. doi:10.36849/JDD.5915.
背景
下肢缺损的重建可能具有技术挑战性。 基石岛穿支皮瓣是一种用于修复困难区域（包括下肢）的主要重建选择。本研究的目的是评估使用基石皮瓣联合氧化锌加压敷料（Unna 靴）修复下肢缺损的效果。
方法
我们回顾性评估了 96 例小腿恶性肿瘤或非典型肿瘤切除患者。共 114 例缺损采用基石皮瓣联合 Unna 靴修复。评估术后结果。
结果
基石皮瓣联合术后应用 Unna 靴可获得良好的效果。并发症发生率与患者合并症之间无相关性。
结论
基石皮瓣联合 Unna 靴是修复下肢缺损的一种安全有效的方法。J 皮肤病药物疗法杂志。2021；20（12）：1308-1312。doi：10.36849/JDD.5915.
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