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題名 | The Extensor Digitorum Brevis Muscle Flap in Reconstruction of Soft Tissue Defects in the Lower Limb=以伸趾短肌皮瓣重建下肢缺損 |
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作者 | 蔡宗瑞; 蕭弘道; 林明芳; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 29:1 民85.01-02 |
頁次 | 頁34-40 |
分類號 | 416.413 |
關鍵詞 | 伸趾短肌皮瓣; 下肢缺損; Extensor digitorum brevis muscle flap; Defect; Lower limb; |
語文 | 英文(English) |
中文摘要 | 重建下肢。特別是小腿的下三分之一、腳踝和足部的軟組織缺損是一個非常困難的重建工作,其主要原因是因為該部位的表皮血液供應較差。由於伸趾短肌肌瓣貝多樣性、可信賴性,它能提供下肢的軟組織缺損一個適當厚度的重建。而且它的解剖構造和血管走向呈現相當的一致性。此肌肉肌瓣可以順向或逆向形式翻轉來覆蓋小腿下三分之一到足背及肢端的小缺損,更可作為自由肌瓣移植,而供應區則只有需將該皮瓣拿起之疤痕,並不會產生功能上的障礙。從1993年十二月到1995年六月。馬偕紀念醫院有十例臨床上應用此皮瓣做下肢軟組織缺損重建,在接受部位和供應區傷口癒合,外貌和功能上都能獲得良好的結果。只有一例因三到四度電擊傷以致皮瓣壞死。其餘九例皮瓣都能存活,少數幾例植皮部分掉落,經換藥後自然癒合。基於臨床經驗,我們建議在考慮下肢遠端軟組織缺損的重建時,使用此伸指短肌皮瓣是值得採行的方法。 |
英文摘要 | Soft tissue defects of the lower extremity, particularly the distal third ofleg, ankle, and foot, are notoriously difficult to repair because of poor bloodsupply to the skin of this area. The versatility and reliability of the extensor digitorum brevis muscle flap can provide adequate bulky coverage insoft-tissue defects of the lower limb. The flap can be elevated with antegrade or retrograde pattern to cover small defects from distal third of legto the dorsum and tip of foot. The donor site deformity is limited to thenecessary scar needed while raising and rotating this flap for the reconstruction. Clinical applications, done from December 1993 to June 1995, of thisflap in 10 patients are reported. Successful healings of the defects with goodaesthetic and functional results at both recipient and donor sites werefound. Owing to the third, even fourth, degree electric burn injury, onlyone failure of flap resulted. The other skin grafts partial loss or macera-tion healed spontaneously. Long-term follow-up gave excellent results. Theextensor digitorum brevis muscle flap is recommended for managementof the defects of lower extremity. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。