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高压电烧伤后双侧膝关节软组织重建

Bilateral Knee Soft-tissue Reconstruction after High-voltage Electrical Burn Injuries.

作者信息

Déniz Martínez Alejandro, Santamaría Córdoba Natalia, Ayala Parra David G

机构信息

Department of Plastic and Reconstructive Surgery, Simón Bolívar Hospital Burns Unit, Bogotá DC, Colombia; and Pontifical Xavierian University, Bogotá DC, Colombia.

出版信息

Plast Reconstr Surg Glob Open. 2023 Mar 8;11(3):e4854. doi: 10.1097/GOX.0000000000004854. eCollection 2023 Mar.

DOI:10.1097/GOX.0000000000004854
PMID:36910727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9995087/
Abstract

This is the case of a 21-year-old man who had extensive and bilateral knee soft-tissue damage after a high-voltage electrical discharge. In its reconstruction, we simultaneously performed the pedicled medial sural artery perforator flap. Even though mild complications took place, this alternative proved helpful and reliable, providing an easily adjustable skin island and allowing for the patient's rapid rehabilitation and a satisfactory aesthetic outcome. Although this flap's reconstructive potential is known in other etiologies, the present report outlines its substantial potential in the case of electrical burn injuries, as it has barely been recognized before.

摘要

这是一名21岁男性的病例,其在遭受高压电击后双侧膝关节出现广泛的软组织损伤。在重建过程中,我们同时实施了带蒂腓肠内侧动脉穿支皮瓣手术。尽管出现了轻微并发症,但这种方法被证明是有用且可靠的,它提供了一个易于调整的皮岛,使患者能够快速康复并获得满意的美学效果。虽然这种皮瓣在其他病因中的重建潜力已为人所知,但本报告概述了其在电烧伤病例中的巨大潜力,因为此前它几乎未被认识到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/5208d703503d/gox-11-e4854-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/b45964ba3c43/gox-11-e4854-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/8ff721313b96/gox-11-e4854-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/5208d703503d/gox-11-e4854-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/b45964ba3c43/gox-11-e4854-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/8ff721313b96/gox-11-e4854-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c8/9995087/5208d703503d/gox-11-e4854-g003.jpg

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本文引用的文献

1
Versatility of Medial Sural Artery Islanded Pedicled Perforator Flap for Resurfacing Areas Around the Knee.腓肠内侧动脉岛状带蒂穿支皮瓣用于膝关节周围创面修复的多功能性
Ann Plast Surg. 2022 Jun 1;88(6):647-657. doi: 10.1097/SAP.0000000000003057. Epub 2022 Apr 3.
2
Gastrocnemius pedicled muscle flap for knee and upper tibia soft tissue reconstruction. A useful tool for the orthopaedic surgeon.腓肠肌蒂肌皮瓣在膝关节和胫骨上段软组织重建中的应用。骨科医生的有用工具。
Injury. 2021 Dec;52(12):3679-3684. doi: 10.1016/j.injury.2021.04.009. Epub 2021 Apr 20.
3
The Versatility of the Pedicled Medial Sural Artery Perforator Flap: From Simple to Its Chimeric Pattern and Clinical Experience with 37 Cases.
带蒂内侧腓肠动脉穿支皮瓣的多功能性:从简单到其嵌合模式,以及 37 例临床经验。
Plast Reconstr Surg. 2021 Apr 1;147(4):960-969. doi: 10.1097/PRS.0000000000007795.
4
Soft tissue coverage options around the knee.膝关节周围软组织覆盖的选择。
Ann Chir Plast Esthet. 2020 Nov;65(5-6):517-523. doi: 10.1016/j.anplas.2020.07.003. Epub 2020 Jul 24.
5
Chemical, Electrical, and Radiation Injuries.化学、电气和辐射损伤。
Clin Plast Surg. 2017 Jul;44(3):657-669. doi: 10.1016/j.cps.2017.02.021. Epub 2017 Apr 21.
6
Burns: Pathophysiology of Systemic Complications and Current Management.烧伤:全身并发症的病理生理学与当前治疗方法
J Burn Care Res. 2017 Jan/Feb;38(1):e469-e481. doi: 10.1097/BCR.0000000000000355.
7
Normal anatomy and biomechanics of the knee.膝关节的正常解剖结构与生物力学
Sports Med Arthrosc Rev. 2011 Jun;19(2):82-92. doi: 10.1097/JSA.0b013e318210c0aa.
8
New design and identification of the medial sural perforator flap: an anatomical study and its clinical applications.腓肠内侧穿支皮瓣的新设计与识别:解剖学研究及其临床应用
Plast Reconstr Surg. 2006 Apr 15;117(5):1609-18. doi: 10.1097/01.prs.0000207077.19601.86.