通过游离股前外侧皮瓣、诱导膜技术、趾关节转移和关节假体进行创伤性手背重建。
Traumatic Dorsal Hand Reconstruction through A free Anterolateral Thigh Flap, Induced Membrane Technique, Toe Joint Transfer, and Joint Prosthesis.
作者信息
Yao Loukou Blaise, Hugon Sebastien
机构信息
Department of Orthopaedics, University Hospital Center of Bouaké, Bouaké, Côte d'Ivoire, West Africa.
Department of Orthopaedics, Hand Surgery Unit, Regional Hospital Center of Namur, Namur, Belgium, Europe.
出版信息
J Orthop Case Rep. 2021 Oct;11(10):6-8. doi: 10.13107/jocr.2021.v11.i10.2442.
INTRODUCTION
This study presents a case of post-traumatic dorsal hand reconstruction by describing the surgical technique in several stages and the outcome.
CASE REPORT
It involves a patient with loss of cutaneous tissue, loss of bone, and tendon in the dorsal hand and fingers following a car accident. He was treated on a four-stage hand salvage and reconstruction. Stage one fulfilled in emergency involved K-wire and osseous filling through acrylic cement, hunter tendon rods, and a free anterolateral thigh flap. The second stage at 2 months involved osseous grafts and finger joint prostheses. The third stage time at 7 months involved a toe joint transfer. The last stage at 11 months involved extensor tendons graft reconstruction. The functional outcome at 2 years is acceptable.
CONCLUSION
The post-traumatic dorsal hand reconstruction requires several techniques to reconstruct the losses of substances observed and this in several stages. It allowed to have an acceptable hand function.
引言
本研究通过分阶段描述手术技术及结果，呈现了一例创伤后手背重建病例。
病例报告
该病例为一名在车祸后手背部及手指皮肤组织、骨骼和肌腱缺失的患者。他接受了四阶段的手部挽救与重建治疗。第一阶段在急诊时进行，包括克氏针固定、通过丙烯酸骨水泥进行骨填充、亨特肌腱棒植入以及游离股前外侧皮瓣移植。第二阶段在2个月时进行，包括骨移植和手指关节假体植入。第三阶段在7个月时进行，包括趾关节转移。最后阶段在11个月时进行，包括伸肌腱移植重建。2年时的功能结果可接受。
结论
创伤后手背重建需要多种技术来重建所观察到的组织缺失，且需分多个阶段进行。这使得手部功能达到可接受的水平。
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