[使用横指皮瓣重建数字缺损的长期效果]。

IF 0.4 4区 医学 Q4 SURGERY Handchirurgie Mikrochirurgie Plastische Chirurgie Pub Date : 2024-07-15 DOI:10.1055/a-2351-6697
Markus Mulica, Mohamed Yasmin, Aijia Cai, Andreas Arkudas, Wibke Müller-Seubert, Raymund E Horch
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引用次数: 0

摘要

简介:尽管在手指缺损重建方面取得了多项进展,但交叉指皮瓣仍是一种重要的重建工具。然而,有关长期效果的数据在文献中并不多见。本研究旨在评估接受横指皮瓣重建治疗掌侧数字和指尖缺损患者的临床和主观长期效果:2003年1月至2022年7月期间,研究筛选并纳入了35名患者(31名男性,4名女性,平均年龄:59.0岁±20.1岁)。通过临床检查、Quick-DASH 评分和自行设计的问卷获得数据。临床结果通过评估再造手指和供体手指的活动范围(ROM)与对侧未受伤手的活动范围(ROM)进行评估。除活动范围外,还进行了静态两点分离测试,以评估再造手指的感觉功能。随访时间为1年至19年(平均:12.6年±6.1年):结果:与未受伤的对侧手相比,再造手指和供体手指的ROM没有明显差异。所有患者对锐器和钝器的辨别能力均正常。但是,再造手指与健康的对侧手指在两点辨别力方面存在显著差异(p 结论:从长远来看,跨指运动可以帮助患者恢复手指的功能:从长远来看,横指皮瓣是一种安全有效的重建方法,可用于覆盖手指掌侧损伤和指尖截肢的缺损。它是一种简单、可靠、持久的重建技术。必要的暂时性先天性联合畸形不会导致活动范围长期受限。
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[Long-Term Outcome of Digital Defect Reconstruction using Cross-Finger Flaps].

Introduction: Although multiple advances have been made in finger defect reconstruction, cross-finger flaps remain an important reconstructive tool. However, data on long-term results are scarce in the literature. This study aimed to assess the clinical and subjective long-term outcomes of patients who underwent cross-finger flap reconstruction for palmar digital and fingertip defects.

Patients and methods: Between January 2003 and July 2022, 35 patients (31 male, 4 female, mean age: 59.0 years±20.1) were screened and included in the study. The data were obtained through a clinical examination, a Quick-DASH score and a self-designed questionnaire. Clinical outcomes were assessed by evaluating the range of motion (ROM) of the reconstructed finger and the donor finger compared with the contralateral uninjured hand. In addition to ROM, a static two-point separation test was performed to assess the sensory function of the reconstructed finger. The follow-up period was between 1 year and 19 years (mean: 12.6 years±6.1).

Results: There was no significant difference in terms of ROM between the reconstructed finger and the donor finger compared with the contralateral uninjured hand. All patients reported normal discrimination between sharp and blunt objects. However, there was a significant difference in two-point discrimination between the reconstructed finger and the healthy contralateral finger (p<0.05). The average Quick-DASH score was 5.1 points. Satisfaction with the functional outcome in terms of mobility and load-bearing capacity of the cross-finger flap averaged 8.1 out of 10 points. Satisfaction with the aesthetic outcome of the reconstructed finger averaged 7.7 out of 10 points. In 4 cases, persistent pain was reported when the reconstructed finger was under stress. No cases of pain at rest were reported.

Conclusion: In the long run, cross-finger flaps are a safe and effective reconstructive procedure for covering defects in palmar injuries of the finger and fingertip amputation. They represent a simple, reliable, long-lasting reconstructive technique. The necessary temporary iatrogenic syndactyly does not lead to long-term limitations in the range of motion.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
期刊最新文献
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