hand surgery and peripheral nerve center cof lanzo hospital.
Consultant of Hand Surgery and Reconstructive Microsurgery Villa Stuart Clinic Rome, Italy.
Acta Biomed. 2022 Jun 30;93(S1):e2022106. doi: 10.23750/abm.v93iS1.12389.
Soft tissue loss around the elbow, with tendons, nerves and bone exposure, represents a challenging condition, often requiring a complex and accurate surgical reconstruction. Inadequate repair of soft tissue defects may in fact compromise further reconstructive orthopedic procedures, including osteosynthesis and joint replacement. A correct reparative sequence of these lesions usually starts with an appropriate debridement and removal of all non-viable and infected tissues, followed by soft tissues management through plastic and reconstructive techniques. Here we present a case report, showing a successful surgical solution, using a local muscular flap. The results are discussed in light of their functional and medico-legal implications, considering the frequent occurrence of partial functional recovery, the disabling impact on social and work activities and the aesthetic sequelae of these lesions, even in spite of a successful treatment.
肘部周围软组织缺失，伴有肌腱、神经和骨外露，是一种极具挑战性的病症，往往需要复杂而精确的外科重建。软组织缺损的修复不当实际上可能会影响进一步的重建骨科手术，包括骨内固定和关节置换。这些损伤的正确修复顺序通常首先进行适当的清创术，清除所有无活力和感染的组织，然后通过整形和重建技术处理软组织。我们在此报告一例病例，采用局部肌瓣成功实施了手术治疗。考虑到部分功能恢复频繁、对社会和工作活动的致残影响以及这些损伤的美容后遗症，即使治疗成功，我们也将根据其功能和医学法律方面的影响对结果进行讨论。
