由骨间前动脉骨皮支供应的游离皮瓣的临床应用。

IF 0.9 4区医学 Q4 ORTHOPEDICS Hand Surgery & Rehabilitation Pub Date : 2024-04-01 DOI:10.1016/j.hansur.2024.101679

Yunhao Xue , Yaobin Yin , Chen Yang , Shufeng Wang , Yongxin Huo

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引用次数: 0

摘要

目的探讨骨间前动脉背支桡侧骨皮支供应的游离复合皮瓣移植重建手部骨和皮肤缺损的临床应用和疗效：从解剖学角度看，骨间前动脉背侧支的桡侧骨皮支具有恒定的侧支吻合，可以从前臂背侧提供一个大的背侧皮瓣。该皮瓣被用于五例皮肤和趾骨缺损的重建：结果：所有五个病例的重建都很成功，指骨得到了巩固，外观效果良好。所有供区均可直接闭合：结论：使用前臂背侧皮瓣进行重建是一种可靠的手术，创伤极小。结论：前臂背侧皮瓣重建术是一种可靠的手术，创伤极小，是修复皮肤和趾骨缺损的理想方法。

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Clinical application of a free flap supplied by the osteocutaneous branch of the anterior interosseous artery

Objectives

To explore the clinical application and efficacy of transplantation of free composite flaps supplied by radial osteocutaneous branch of the dorsal branch of the anterior interosseous artery for reconstructing bone and skin defects in the hand.

Material and methods

Anatomically, the radial osteocutaneous branch of the dorsal branch of the anterior interosseous artery has constant collateral anastomoses which can provide a large dorsoradial flap from the dorsum of the forearm. This flap was used for reconstruction in five cases of cutaneous and phalangeal defects.

Results

Reconstruction was successful in all five cases, with consolidated phalanx and good cosmetic results. All donor sites could be closed directly.

Conclusion

Reconstruction with dorsoradial forearm flaps is a reliable procedure which causes minimal trauma. Thus, it is an ideal approach for repairing cutaneous and phalangeal defects.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.

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