The pedicle was broken 4 weeks after the operation.
Methods from June 2008 to January 2010, according to the degree and nature of the injury and the wishes of the patients, we selected the dorsal ulnar fascial island flap of the thumb, the dorsal neurovascular pedicle island flap of the index finger and the dorsal retrograde flap of the first metacarpal bone to repair 45 patients with soft tissue defects at the tip of the thumb, 15 cases of each kind of flap.
Objective to investigate the treatment and clinical effect of abdominal combined flap in the repair of total glove injury.
Methods 498 patients who underwent severed finger replantation in our hospital from January 2010 to December 2016 were divided into 37 cases in the infection group and 461 cases in the non infection group according to whether the patients had infection.
They should be selected and applied reasonably according to local conditions.
The course of the virtual perforator was completely consistent with the solid anatomy, and the image coincidence rate was 100%.
Conclusion hybrid reality technology can obtain real-time and accurate perforator localization for the resection of free anterolateral femoral flap.
The follow-up time was 5 ~ 12 months, with an average of 10.1 months.
Micro signal | 18126646926 general journal, core, SCI..
The coincidence between the virtual image and the actual anatomy was observed.
The donor area of flap was repaired by direct suture or free skin grafting.
The follow-up time was 2 ~ 18 months, with an average of 15 months.
The late evaluation criteria of flap were used to evaluate the curative effect.
The sensation of the flap recovered to S23 cases and S3 + 4 cases.
The flap was designed.
The virtual blood vessel was observed in real time, and the perforator was explored according to its direction.
Peking University core and science and technology core papers were published, and SCI was published.
Conclusion abdominal combined flap can effectively solve the problem of skin coverage and restore the function of the affected hand.
Conclusion early identification of the risk factors of infection after replantation of severed fingers, thorough debridement and rational use of antibiotics can reduce the risk of infection after replantation of severed fingers.
Methods from January 2017 to may 2019, we treated 7 patients with thumb soft tissue defect, with a defect area of 3.0cm × 2.0cm～5.0cm × 2.0cm.
The follow-up time was 3 ~ 6 months, with an average of 4.2 months.
The 3D model was projected on the operation area by using hybrid reality technology.
Objective to compare the clinical effects of three kinds of small pedicled skin flaps commonly used in the repair of soft tissue defects at the tip of the thumb.
It covers a wide range of disciplines and is included in four major Searches: HowNet, Wanfang, VIP and Longyuan.
During the operation, the hybrid reality technology was used to locate the virtual perforator.
Publish papers with medium and high professional titles, and provide national and provincial papers.
Objective to investigate the clinical effect of repairing thumb soft tissue defect with the first dorsal metacarpal radial artery flap pedicled with the perforating branch of the palmar proper artery of the thumb radial finger.
It is a safe and effective treatment.
Methods from February 2019 to July 2019, 12 patients with hand wounds were repaired with free anterolateral femoral flap.
Conclusion the operation of the first dorsal metacarpal artery flap pedicled with the perforating branch of the palmar proper artery of the thumb radial finger is simple, does not damage the main blood vessels, and can suture the nerves to reconstruct the regional sensation.
During the operation, the abdominal flap was combined and the thumb was repaired separately according to the injury.
Results all 12 free flaps survived.
According to the late evaluation criteria of flap, the curative effect was excellent in 3 cases, good in 7 cases and fair in 2 cases.
Methods from February 2010 to March 2014, 12 patients with full glove injury were treated with abdominal combined flap.
The shape, color and texture of the flap were close to that of the thumb skin.
They have high survival rate and good sensory function recovery.
It is one of the better methods to repair the soft tissue defect of the thumb.
Objective to explore the value of real-time localization of the perforator of anterolateral femoral flap in the repair of hand wounds.
The texture of the flap was soft, the appearance was satisfactory, and the sensory recovery was S11 cases, S25 cases and S36 cases.
Results among 498 patients, 37 cases had postoperative infection, the incidence rate was 7.93%.
According to the trial standard of upper limb function evaluation of Hand Surgery Society of Chinese Medical Association, hand function was evaluated: excellent in 7 cases, good in 3 cases and fair in 2 cases.
The related factors affecting the infection after severed finger replantation were analyzed by univariate analysis, the indexes with statistical significance were selected for multivariate logistic regression analysis, and the preventive measures were put forward.
There was no significant difference in dynamic and static two-point resolution between the three groups (P & gt; 0.05).
Results all flaps survived after operation.
Results all 7 flaps survived.
Honest and fast, leading technology and service.
According to the size and shape of the wound, the first dorsal metacarpal radial artery flap pedicled with the perforating branch of the proper palmar artery of the thumb radial finger was designed to transfer and repair the soft tissue defect of the thumb.
Bao Lu published with Bao, integrity first, welcome to consult! Creative service focuses on the field of academic papers, pays equal attention to both academic and language, and deeply solves fundamental problems.
Results all flaps survived, the texture of the flap was good, and the shape and function of the affected finger were satisfactory.
According to the total active motion of fingers, the function of affected fingers was excellent in 4 cases and good in 3 cases.
To explore the risk factors, prevention and treatment measures of infection after replantation of severed fingers, so as to provide clinical data for reducing infection after replantation of severed fingers.
A 3D bone vessel skin model was established before operation to simulate the anastomotic vessels and observe the anastomotic matching.
Univariate analysis and multivariate logistic regression analysis showed that incomplete debridement, causes of injury, exposure time more than 8h and unreasonable use of antibiotics were the risk factors of postoperative infection after finger replantation.
Conclusion the three kinds of flaps are ideal for repairing the soft tissue defect of thumb and fingertip.
