文章简介

出版社:J Hand Surg Am.

作   者:Wong VW, Higgins JP, Katz RD

编   号:doi: 10.1016/j.jhsa.2014.06.002

年   份:2014    点击量:511

文章摘要

    Devastating hand injuries require customized reconstructive strategies to maximize functional outcomes. We report a case of thumb metacarpal reconstruction using a vascularized medial femoral condyle osteocutaneous flap in the setting of nearly complete metacarpal loss. In addition to achieving the traditional goals of reconstructing thumb length and providing stability, the medial femoral condyle flap allowed motion at the carpometacarpal joint. The patient’s hand function was further optimized by a component transfer of a proximally injured but distally preserved index finger to the amputated middle finger position. The patient regained satisfactory grip and thumb function with minimal donor site morbidity. This case highlights the role of both creative and established approaches to reconstruct composite tissues following devastating hand injury.

    重度手损伤需要特定的重建技术以实现最佳功能。本文报道一例掌骨近乎完全受损的患者使用血管化股骨内侧髁骨皮瓣重建拇指掌骨。除了实现重建拇指长度和保持稳定性的传统目标,股骨内侧髁骨皮瓣还可以在腕掌关节运动。通过把 近端受损但远侧保留的食指移植到切断的中指位置,来进一步优化患者的手部功能。患者恢复了良好的抓握力和拇指功能,且供区发病率最小。本文强调重度手损伤后采用创新和既定的方法重建复合组织的重要性。


 

 

由MediCool医库软件 余晓倩 编译

原文来自J Hand Surg Am