The appearance and function of the fingers were satisfactory.
The follow-up time was 3 ~ 15 months, with an average of 6 months.
Peking University core and science and technology core papers were published, and SCI was published.
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After nearly 60 years of basic and clinical research, the curative effect of intercostal nerve transfer in the treatment of brachial plexus injury has been greatly improved, the operation is safe and the operation methods are diverse.
Methods from March 2012 to June 2017, we used the proximal perforator flap of the ulnar artery of the forearm to repair the skin defect in 12 patients with defective severed fingers, and cut the iliac bone flap to repair the phalanx defect.
All donor wounds were sutured directly.
Methods from October 2010 to October 2013, we used free venous flap with long metacarpal tendon to repair 15 cases and 15 fingers of dorsal digital wound with tendon defect, including 13 cases of venous arterialization and 2 cases of venous system.
One operation can repair the tendon and skin defect at the same time.
The hand flap had good texture, satisfactory appearance, good recovery of hand function, concealed donor area of thoracodorsal flap, and only linear scar was left on the wound.
The foot function was evaluated according to the Maryland scoring standard proposed by Sanders et al: excellent in 14 cases and good in 1 case.
According to the TAM / TPM standard after tendon repair, the results were excellent in 8 fingers, good in 4 fingers, fair in 2 fingers and poor in 1 finger.
Objective to investigate the clinical effect of venous flap with long metacarpal tendon in the repair of dorsal digital wound with tendon defect.
The flap survived after symptomatic treatment such as dressing change.
Publish papers with medium and high professional titles, and provide national and provincial papers.
Results all wounds healed in the first stage after operation, and all flaps and severed fingers survived.
Conclusion the venous flap with palmaris longus tendon is a good method to repair the dorsal digital wound with tendon defect.
The thoracodorsal donor area was sutured directly to close the wound.
Conclusion thoracodorsal artery perforator flap is an ideal method to repair hand skin defects.
Conclusion the free transplantation of proximal perforator flap of ulnar artery to repair the replantation of defective severed fingers provides a new solution for the repair of such severed fingers.
The foot donor area recovered well and had no effect on wearing shoes and walking weight.
Results all 5 cases of thoracodorsal artery perforator flaps survived, of which 1 case had partial necrosis of the skin edge, which was sutured directly after secondary debridement, and 2 cases underwent flap plastic surgery 3 months after operation.
Methods from April 2013 to December 2016, we treated 5 patients with hand skin defect, with a skin defect area of about 3.5cm × 5.2cm~6.8cm × 9.5cm, repaired by free transplantation of thoracodorsal artery perforator flap.
The area of skin defect was 5.0 cm × 2.0cm~9.0cm × 2.5cm, the length of phalangeal defect is 0.5 ~ 3.2cm.
Conclusion the repair of donor soft tissue defect after toe transplantation with leg perforator flap can not only create fingers with excellent appearance and function, but also restore the integrity of foot donor area, and the function and appearance of foot can be well restored.
Among them, 10 cases were followed up for 0.5 ~ 5.0 years, with an average of 1.2 years.
The excellent rate of intercostal nerve transfer in repairing shoulder and elbow joint has been affirmed, and it has become one of the recognized surgical methods at home and abroad, but there are still disputes on some specific details.
The follow-up time was 3 ~ 18 months, with an average of 12 months.
One case had obvious swelling and scattered tension blisters 24 hours after operation.
The follow-up time was 1 ~ 18 months, with an average of 8.6 months.
Honest and fast, leading technology and service.
The two-point resolution was 6 ~ 8mm, and all returned to their original work.
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.
The flap had no obvious pigmentation, soft texture, good elasticity and wear resistance.
Objective to investigate the effect of repairing soft tissue defect in donor area after toe transplantation with perforator flap of lower leg.
Methods from December 2015 to December 2016, 15 patients who received nail flap, first toe fibular flap and second toe nail flap to repair and reconstruct finger defects were treated with calf peroneal artery perforator flap or posterior tibial artery perforator flap to repair the defect of donor soft tissue after toe transplantation.
Results all the flaps survived, of which 14 cases were sutured directly and the wound healed in the first stage; In one donor site, the skin graft was taken from the proximal forearm and survived.
During the operation, the trunk of thoracodorsal artery was anastomosed with the branch of hand artery, and the accompanying vein or subcutaneous vein of the flap was anastomosed with the dorsal vein of hand to reconstruct the blood circulation of the flap.
According to the trial evaluation standard of severed finger replantation function of the society of hand surgery of Chinese Medical Association, 5 cases were excellent, 5 cases were good and 2 cases were fair.
This paper reviews the research progress of intercostal nerve transfer in the treatment of brachial plexus injury at home and abroad in recent years.
Objective to investigate the clinical application of thoracodorsal artery perforator flap in the repair of hand skin defects.
Objective to investigate the therapeutic effect of proximal perforator flap of ulnar artery in replantation of defective severed fingers.
Results all the reconstructed fingers and foot flaps survived.
The blood supply of the flap and replanted finger was good.
Micro signal | 18126646926 general journal, core, SCI..
