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小儿手背复杂性烧伤后瘢痕挛缩的治疗

Management of Complex Postburn Scar Contracture of the Dorsum of Pediatric Hand.

作者信息

Akkour Mousa, Almadani Jamal, Alammar Alwaleed, Alsaeed Ahmed, Alshammery Ahmad, Gabr Mostafa, Al-Qattan Mohammed

机构信息

From the Plastic Surgery Department, Prince Sultan Medical City, Riyadh, Saudi Arabia.

Plastic Surgery Department, King Khalid University Hospital, Riyadh, Saudi Arabia.

出版信息

Plast Reconstr Surg Glob Open. 2024 Dec 3;12(12):e6344. doi: 10.1097/GOX.0000000000006344. eCollection 2024 Dec.

DOI:10.1097/GOX.0000000000006344
PMID:39633716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11614477/
Abstract

This case report details the challenging management of a 3-year-old girl with a severe left-hand extension contracture resulting from a scald burn. Delayed presentation prompted a 2-stage surgical approach. The first stage involved excising contracted skin and using a groin flap for reconstruction. Two weeks later, donor site closure was performed. The patient later underwent syndactyly release and extensor tenotomy, achieving significant metacarpophalangeal and proximal interphalangeal joint flexion. This case underscores the importance of burn injury intervention and reconstructive surgery for functional and aesthetic outcomes in challenging hand deformities.

摘要

本病例报告详细介绍了一名3岁女童因烫伤导致严重左手伸展挛缩的具有挑战性的治疗过程。就诊延迟促使采用两阶段手术方法。第一阶段包括切除挛缩皮肤并使用腹股沟皮瓣进行重建。两周后，进行供区闭合。患者随后接受了并指松解和伸肌腱切断术，掌指关节和近端指间关节实现了显著的屈曲。本病例强调了烧伤损伤干预和重建手术对于具有挑战性的手部畸形的功能和美学效果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/f431e29b9fa7/gox-12-e6344-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/dce53ffdeaa7/gox-12-e6344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/460bf2f05caa/gox-12-e6344-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/a9bacd9da49b/gox-12-e6344-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/f431e29b9fa7/gox-12-e6344-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/dce53ffdeaa7/gox-12-e6344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/460bf2f05caa/gox-12-e6344-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/a9bacd9da49b/gox-12-e6344-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/081c/11614477/f431e29b9fa7/gox-12-e6344-g004.jpg

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本文引用的文献

1
Prevention and Treatment of Burn Scar Contracture: A Practical Review.烧伤瘢痕挛缩的预防与治疗：实用综述
Plast Reconstr Surg Glob Open. 2024 Jan 19;12(1):e5333. doi: 10.1097/GOX.0000000000005333. eCollection 2024 Jan.
2
A Single Institution's Recent Experience With Pediatric Hand Burns.一家医疗机构近期诊治小儿手部烧伤的经验。
J Burn Care Res. 2023 Jul 5;44(4):955-962. doi: 10.1093/jbcr/irac174.
3
Indications and Predictors for Reconstructive Surgery After Hand Burns.手部烧伤后重建手术的适应症及预测因素
J Hand Surg Am. 2017 May;42(5):351-358. doi: 10.1016/j.jhsa.2017.02.006. Epub 2017 Mar 27.
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Defining the Indications of Pedicled Groin and Abdominal Flaps in Hand Reconstruction in the Current Microsurgery Era.在当前显微外科时代明确带蒂腹股沟皮瓣和腹部皮瓣在手再造中的适应证
J Hand Surg Am. 2016 Sep;41(9):917-27. doi: 10.1016/j.jhsa.2016.06.006. Epub 2016 Jul 19.
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Tech Hand Up Extrem Surg. 2013 Jun;17(2):68-71. doi: 10.1097/BTH.0b013e31827ddf47.
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Reconstruction of the pediatric burned hand.小儿烧伤手的重建
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Acute hand burns in children: management and long-term outcome based on a 10-year experience with 698 injured hands.儿童手部急性烧伤：基于698只受伤手的10年经验的治疗与长期结果
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The acutely burned hand: management and outcome based on a ten-year experience with 1047 acute hand burns.急性手部烧伤：基于1047例急性手部烧伤十年经验的治疗与预后
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