用三明治皮瓣重塑一只衰老的手

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.61186/wjps.12.3.90
Ahmadreza Afshar, Ali Tabrizi, Ali Aidenlou
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引用次数: 0

摘要

一名 35 岁男子的右手被困在滚筒式机器中,手指、拇指以及部分手掌和手背完全脱臼。从左臂内侧和邻近的左胸外侧壁的对立面取材,用两块前向随机成对的皮瓣覆盖脱落的手掌和手指,形成手掌夹层。用一个单独的成对随机粘膜瓣袋覆盖被剥离的拇指。最后,右手变成了功能性手套手,背侧表面有 15x13 厘米的皮瓣,掌侧表面有 10x10 厘米的皮瓣。拇指带皮瓣的覆盖面为 7x6 厘米。
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A Degloved Hand Was Resurfaced with Sandwich Flaps.

The right hand of a 35-year-old man trapped in a roller machine and sustained an entire degloving injury of the right hand involving fingers, thumb and a part of palmar and dorsal surfaces of the hand. The denuded hand and fingers were covered with two anteriorly based random paired flaps, forming a hand sandwich, from the opposing surfaces of medial left arm and adjacent left lateral chest wall. The denuded thumb was covered with a separate pocket of paired random vis-à-vis flaps. Finally, the right hand was turned to a functional mitten hand with a 15x13 cm flap on the dorsal surface, 10x10 cm flap on the palm surface. The thumb's covered surface with flaps was 7x 6 cm.

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