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婴儿后骨间皮瓣修复手部畸形新技术:1例报告

Newly repairing technique of deformed hand by a posterior interosseous flap in an infant: A case report.

作者信息

Shashaa Mohammad Nour, Swed Sarya, Albahhah Tamim, Alloush Hani

机构信息

Department of Orthopedic, Aleppo University Hospital, Aleppo, Syria.

Faculty of Medicine, Aleppo University, Aleppo, Syria.

出版信息

Int J Surg Case Rep. 2022 Jun;95:107207. doi: 10.1016/j.ijscr.2022.107207. Epub 2022 May 18.

Abstract

INTRODUCTION

Many non-surgical methods were performed to repair the deformities in the skeletal system to avoid severe complications post-open surgery, especially within the childhood stage or below. We aim, in this case, to present a new technique for repairing bony deformities in the childhood stage, which fewer studies have to instigate its efficacy versus open surgery.

CASE PRESENTATION

We present a 14-months-old infant with wrist extravasation injury at the neonatal stage (day 1), end with a right wrist volar contraction and complete loss of brain homunculus of the right hand.

DISCUSSION

We used a reverse posterior interosseous flap to reconstruct the soft tissue and release the flexor tendons of the hand. The flap was conducted entirely and was rapidly adapted to the recipient beds to achieve good color and texture harmonies. Within following up for 12 weeks, the patient restored hand function.

CONCLUSION

More global cohort studies are required to compare precisely the efficacy between surgical options and the used technique in our case for salvaging deformities in childhood.

摘要

引言

为避免开放性手术后出现严重并发症,尤其是在儿童期及以下阶段,人们采用了许多非手术方法来修复骨骼系统畸形。在本病例中,我们旨在介绍一种修复儿童期骨骼畸形的新技术,针对该技术与开放性手术疗效对比的研究较少。

病例介绍

我们报告一名14个月大的婴儿,在新生儿期(第1天)出现腕部外渗损伤,最终导致右手腕掌侧挛缩和右手大脑功能区完全丧失。

讨论

我们采用逆行骨间后动脉皮瓣修复软组织并松解手部屈肌腱。皮瓣移植完全成功,能迅速与受区创面贴合,实现了良好的色泽和质地匹配。在随访的12周内,患者手部功能得以恢复。

结论

需要更多全面的队列研究,以精确比较手术方案与我们病例中所采用技术在挽救儿童期畸形方面的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/832c/9127564/43eef45e3b7c/gr1.jpg

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