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显微外科再植术失败后，利用骨骼化断指成功进行非显微外科拇指再造：1例报告

A Successful Non-microsurgical Thumb Reconstruction by Using the Skeletonized Amputated Phalanges, After a Failed Trial of Microsurgical Replantation: A Case Report.

作者信息

Hanawi Maha, Bhat Tanveer A, Alokaili Hesham, Altamimi Abdulla, Mirza Mohammed Y

机构信息

Department of Plastic and Reconstructive Surgery, King Saud Medical City, Riyadh, SAU.

出版信息

Cureus. 2022 Dec 10;14(12):e32377. doi: 10.7759/cureus.32377. eCollection 2022 Dec.

DOI:10.7759/cureus.32377
PMID:36632277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9827905/
Abstract

We present a case of thumb reconstruction free of microsurgical technique or free tissue transfer producing satisfactory function. The patient who underwent reconstruction is a 40-year-old right-handed male mechanic, medically free, non-smoker. After unsuccessful microsurgical replantation of the amputated thumb, we elected to pursue regional reconstruction options using a reverse radial forearm flap and the skeletonized phalanges obtained from the amputated thumb as a bony scaffold.

摘要

我们报告一例无需显微外科技术或游离组织移植即可实现拇指再造且功能满意的病例。接受再造手术的患者是一名40岁的右利手男性机械师，身体健康，不吸烟。在拇指离断显微外科再植失败后，我们选择采用逆行桡侧前臂皮瓣及取自离断拇指的去骨皮质指骨作为骨支架进行局部再造。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7a396f7ff2df/cureus-0014-00000032377-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/6a38a1640ca0/cureus-0014-00000032377-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/b9bbba7321f0/cureus-0014-00000032377-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/5daeaeba78ba/cureus-0014-00000032377-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7394d3c36946/cureus-0014-00000032377-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/36dd308c2819/cureus-0014-00000032377-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/24c3f2250c2a/cureus-0014-00000032377-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7ba7867c3c24/cureus-0014-00000032377-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/8fd15c84dde3/cureus-0014-00000032377-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7a396f7ff2df/cureus-0014-00000032377-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/6a38a1640ca0/cureus-0014-00000032377-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/b9bbba7321f0/cureus-0014-00000032377-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/5daeaeba78ba/cureus-0014-00000032377-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7394d3c36946/cureus-0014-00000032377-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/36dd308c2819/cureus-0014-00000032377-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/24c3f2250c2a/cureus-0014-00000032377-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7ba7867c3c24/cureus-0014-00000032377-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/8fd15c84dde3/cureus-0014-00000032377-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ca/9827905/7a396f7ff2df/cureus-0014-00000032377-i09.jpg

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本文引用的文献

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Traumatic thumb amputation: case and review.创伤性拇指截肢：病例及综述
Eplasty. 2015 Mar 24;15:ic18. eCollection 2015.
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Replantation and revascularization vs. amputation in injured digits.受伤手指的再植与血管重建术对比截肢术
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Thumb reconstruction by grafting skeletonized amputated phalanges and soft tissue cover - A new technique: A case series.采用骨骼化截肢指骨移植及软组织覆盖进行拇指再造——一种新技术：病例系列报告
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