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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >A technique for the non-microsurgical reconstruction of thumb tip amputations
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A technique for the non-microsurgical reconstruction of thumb tip amputations

机译：拇指末端截肢的非显微手术重建技术

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Purpose This article aims to present a technique for thumb tip amputations using a homodigital soft-tissue/periosteum flap and a portion of the amputated digit. Methods Eight patients (aged 21-53 years) with avulsion thumb tip amputations were reviewed. We report a new technique in which a bone and nailbed composite graft was taken from the amputated portion of the thumb and a dorsoulnar flap combined with periosteum was harvested from the first metacarpal and designed to cover the volar bone. Patients were evaluated 6 months after surgery for functional and cosmetic outcomes. Results The radiographic evaluation showed bone healing in all of the patients 5 weeks postoperatively. With regard to pulp reconstruction, there was good recovery of static two-point discrimination. For both the reconstructed area and the donor site, the final results were good in terms of reliability and coverage as well as from a cosmetic perspective. Conclusions This technique was found to be safe and effective. It is a good option for the non-microsurgical reconstruction of crushed and avulsed amputations of the distal thumb.
机译：目的本文旨在介绍一种使用同指软组织/骨膜瓣和部分手指被截肢的拇指尖端截肢技术。方法对8例21-53岁撕脱性拇指尖截肢患者进行回顾。我们报告了一种新技术，其中从拇指的截肢部位取下了骨和钉复合复合物，并从第一掌骨上收获了结合了骨膜的背侧皮瓣，并设计为覆盖掌骨。术后6个月评估患者的功能和美容效果。结果影像学检查显示术后5周所有患者的骨均愈合。关于纸浆重建，静态两点判别法恢复良好。对于重建区域和供体部位，最终结果在可靠性和覆盖率以及美观方面均取得了良好的效果。结论发现该技术是安全有效的。对于非手术重建拇指远端的粉碎性和撕脱性截肢术，这是一个不错的选择。

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