腹股沟皮瓣重建外伤性手部脱手套损伤5例报告。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.52547/wjps.12.1.63
Jose De Jesus Orozco-Grados, Jorge Carrillo Cordova, Jose Antonio Garcia Garcia, Dania Y Baez Armenta, Abraham Arroyo Gonzalez, Daniel Chacon Galvis
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摘要

脱手套是一种撕脱伤,会导致皮肤与其底层组织分离。它通常是由工业机械通过粉碎或牵引机制引起的,在这种情况下,患者通常会通过将手拉开来避免严重的创伤,从而导致这种特殊的伤害。虽然自由皮瓣现在已成为许多机构的标准治疗方法,但缺乏这种可能性使得带蒂皮瓣成为一种很好的重建选择,其优点是供区发病率低,手术成本低,皮瓣剥离相对容易。自McGregor和Jackson描述带蒂腹股沟皮瓣技术以来,这种重建选择已成为覆盖手部和前臂远端伤口的多功能皮瓣。这种轴型皮瓣是基于浅表旋转动静脉系统,它可以提供软组织覆盖中度至重度损伤,特别是那些由工作事故引起的。本文旨在描述我们使用腹股沟皮瓣覆盖治疗5例不同的创伤性脱手套手部损伤的经验,具有良好的美学和功能效果。其中两个是牵引事故后脱手套造成的,一个是烟花爆炸造成的,一个是枪击造成的,最后一个是电伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Groin Flap for Reconstruction of Traumatic Degloving Hand Injury: A Report of 5 Cases.

Degloving is a type of avulsion injury that leads to the separation of the skin from its underlying tissues. It is usually caused by industrial machinery through smashing or traction mechanisms, where the patient typically tries to avoid severe trauma by pulling their hand off, resulting in this particular injury. Although free flaps have now become the standard of treatment in many institutions, the lack of this possibility makes pedicled flaps a good reconstructive option, with advantages such as low donor-site morbidity, low procedure costs, and relatively easy dissection of the flap. Since the description of the pedicled groin flap technique by McGregor and Jackson, this reconstructive option has become a versatile flap for the coverage of wounds on the hand and distal forearm. This axial-patterned cutaneous flap is based on the superficial circumflex arteriovenous system, which can provide soft-tissue coverage for moderate-to-severe injuries, especially those caused by work accidents. This article aims to describe our experience in treating five different cases of traumatic degloving hand injuries using a groin flap for coverage, with excellent aesthetic and functional results. Two of these cases resulted from degloving after a traction accident, one from a firework explosion, one from a gunshot, and finally, one as a result of an electric wound.

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