Gracilis muscle flap for reconstruction of extensive soft tissue damage to the palm.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI:10.52628/90.2.12601
M Gérin, S Bogaert, N Chahidi
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引用次数: 0

Abstract

Objective: The reconstruction of a large palmar soft tissue defect is a challenge to restore both aesthetics and functionality. Reconstruction with fascio-cutaneous and fascial flaps are the most widely used in the literature, few cases are reported using muscular free flap. We report our experience with the use of the free gracilis muscle flap for palmar soft tissue reconstruction in patients with complex hand traumas.

Methods: We review nine cases of complex soft tissue reconstruction to the palm of the hand using the free gracilis muscle flap performed over a period of 20 years. Eight cases involved acute trauma with damage to underlying structures, necessitating multiple surgical procedures.

Results: With an average follow-up of 36 months, the free gracilis muscle flap reconstruction enabled patients to achieve good grip, with skin quality resistant to chronic mechanical stress. All patients recovered a protective sensation to deep pressure. The hand's aesthetic appearance was restored in all cases. Flap harvesting altered neither the function nor silhouette of the donor site.

Conclusion: The optimal palmar reconstruction technique depends on patient characteristics, associated trauma, and defect size. In our opinion, the gracilis muscle flap technique is both straightforward and effective in restoring mechanical function of the hand, particularly when a large area of the palm has been impacted.

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用于重建手掌大面积软组织损伤的腕骨肌皮瓣。
目的:重建手掌大面积软组织缺损是一项挑战,既要恢复美观,又要恢复功能。文献中最广泛使用的是筋膜皮瓣和筋膜瓣重建,使用肌肉游离瓣的病例报道很少。我们报告了使用游离腓肠肌肌皮瓣重建复杂手部创伤患者手掌软组织的经验:我们回顾了20年来用游离腓肠肌肌皮瓣重建手掌复杂软组织的9个病例。结果:平均随访36个月,患者的手掌软组织重建效果良好:结果:在平均 36 个月的随访中,游离腓肠肌肌皮瓣重建术使患者获得了良好的抓握能力,皮肤质量可抵抗慢性机械压力。所有患者都恢复了对深压的保护性感觉。所有病例都恢复了手部的美观。皮瓣采集既没有改变供体部位的功能,也没有改变其轮廓:最佳手掌重建技术取决于患者特征、相关创伤和缺损大小。我们认为,腓肠肌肌皮瓣技术在恢复手部机械功能方面既简单又有效,尤其是在手掌大面积受创的情况下。
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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
期刊最新文献
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