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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Space of Parona infections: Experience in management and outcomes in a regional hand centre
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Space of Parona infections: Experience in management and outcomes in a regional hand centre

机译：帕罗纳（Parona）感染的空间：区域手中心的管理经验和结果

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Background Space of Parona Infection is a rare and potentially limb threatening complication of pyogenic flexor tenosynovitis. The aim of this study is to review the presentation, management and outcomes of space of Parona infections in our institution. Method This was a retrospective study. Data was collected from patients with confirmed space of Parona infections determined by the presence of pus in this space during the initial surgical debridement; between 2009 and 2011. The following parameters were analysed: patient demographics, presentation, microbiological findings and surgical management. The outcomes assessed included the final active range of motion of the primary affected finger, rate of amputation and duration of hospital stay and follow up. Results There were nine confirmed space of Parona infections. 7/9 patients reported a history of trauma. The thumb (7/9) followed by the little finger (2/9) were primarily involved in all cases. Seven patients presented with symptoms of acute median nerve compression in addition to forearm tenderness. Patients had a mean of two (range; 1-5) visits to theatre for washout and debridement. Positive swabs were present in 8/9 cases, of which five patients cultured β haemolytic streptococci. Average hospital stay was six days (range; 3-12) and final active range of movement of the affected finger ranged from 0 to 95%. Conclusion Involvement of space of Parona should be suspected in patients with flexor tendon sheath infections of the thumb or little finger. Early antimicrobial therapy directed particularly at β haemolytic streptococcus combined with prompt surgical debridement and physiotherapy are critical to optimal functional outcome.
机译：Parona感染的背景空间是化脓性屈肌腱鞘炎的一种罕见且可能威胁肢体的并发症。这项研究的目的是回顾我们机构中Parona感染的表现，管理和结局。方法这是一项回顾性研究。数据是从最初手术清创期间在该空间中是否存在脓液确定的帕罗纳感染已确认空间的患者中收集的;在2009年至2011年之间进行了分析。分析了以下参数：患者人口统计学，表现，微生物学发现和手术管理。评估的结果包括主要受影响的手指的最终活动范围，截肢率以及住院和随访时间。结果证实有9例Parona感染空间。 7/9位患者报告有外伤史。在所有情况下，拇指（7/9）其次是小指（2/9）。七例患者除前臂压痛外，还出现急性正中神经压迫症状。患者平均有两次（范围; 1-5次）去剧院看病，以进行冲洗和清创术。 8/9例出现阳性拭子，其中5例培养了β溶血性链球菌。平均住院时间为6天（范围; 3至12天），受影响手指的最终活动范围为0％至95％。结论拇指或小指的屈肌腱鞘感染患者应怀疑与Parona的空间有关。早期针对β溶血性链球菌的早期抗菌治疗，以及及时的手术清创和物理治疗，对于获得最佳功能结局至关重要。

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