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題 名 | A Modified Venous Flap Technique for Digital Reconstruction=以改良式靜脈皮瓣重建手指缺損 |
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作 者 | 池偉誌; 張世幸; 董光義; 黃文成; 游家孟; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 22:4 2013.12[民102.12] |
頁 次 | 頁304-313 |
分類號 | 416.615 |
關鍵詞 | 手指缺損; 手指重建; 靜脈莖皮瓣; Venous flap; Finger injury; Crush injury; Digital defect; |
語 文 | 英文(English) |
中文摘要 | 背景:對一個重建醫師來說,手指的軟組織覆蓋仍然是個存在的挑戰。要重建手指的軟組織最有效的方法就是建立一層既美觀又具功能性的薄軟皮膚,並同時存在最少的副作用。目的及目標:這份研究報告的目的,是要回顧利用改良式島狀靜脈莖皮瓣來覆蓋有骨頭,關節或韌帶露出的手指頭缺損的病例。材料及方法:我們所要回顧的病例起從2003年一月迄至2011年二月,總共有七名病患被包含在這個研究中。七人皆受到手指骨頭缺損及肌腱暴露的傷害。一個包含H狀靜脈系統的皮瓣從手的背側被取下(參照圖片1)。這個皮瓣被移向遠端並以其中一個H狀靜脈系統的末端當作血液流入端。皮辦的兩條近端靜脈端被綁掉。皮瓣被轉去蓋住手指的缺損處並將H狀靜脈系統血液流入端與受傷指頭的近側的指動脈做吻合來得到血流。靜脈莖的另一靜脈端則當作皮辦的血液引流。供皮處被直接縫合。結果:癒合期為接下來的1個月至24個月,在第12個月的觀察結果,為七名病患建立的改良式島狀靜脈莖皮瓣皆存活。雖其中有兩個病例發生部份壞死(參照案例2及案例5),然這兩個壞死後來都自己復原了。最後病患手指的兩點尖端感覺及活動功能都復原的很好。結論:透過適當的病例,先前擬定手術計畫及運用縝密的技術,我們認為改良式島狀靜脈莖皮瓣在手指的重建是個好的選擇並具很少的副作用。 |
英文摘要 | Background:Soft tissue coverage of the finger presents an ongoing challenge to the reconstructive surgeon. The aim of soft tissue reconstruction of the finger is to cover the defect with thin, pliable, esthetically acceptable, and functional tissue and to minimize donor site morbidity.Aim and ObjectivesThe purpose of this study was to review our experience using a modified technique of island pedicle venous flaps for coverage of digital defects with exposed bone, joint, or tendon.Materials and Methods:A retrospective analysis was performed between January 2003 and February 2011. Seven patients were included in the analysis. All the patients had undergone crushing injury of fingers with either bone and/or tendon exposure. The skin flap of the desired surface area, including the H-shaped venous network, was raised on the dorsal hand (Figure 1). The flap was constructed with one distal venous end, and the other distal end of the H-shaped venous system was used as the afferent portion. The 2 proximal venous ends of the skin flap were ligated. The flap was rotated to cover the digital defect, and the afferent end was anastomosed to the digital artery of the injured finger to establish adequate inflow. The outflow drainage was then established reversely via the pedicle venous end. All the donor sites were closed.Results:The mean follow up period was 12 months (range, 1−24 months). All 7 patients with finger crushing injury who underwent island pedicle venous flap reconstruction showed successful results. Partial necrosis was observed in 2 cases (case 2 and case 5), and both healed with conservative management. The functional results, including static 2-point discrimination of the flap and recovery of full movement of the fingers, were acceptable.Conclusion:With proper patient selection, pre-operative planning, and delicate operative technique, the designed island pedicle venous flap is an alternative method for digital soft tissue defect reconstruction with minimal morbidity. |
本系統中英文摘要資訊取自各篇刊載內容。