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首页> 外文期刊>Microsurgery. >Combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle for reconstruction of complex soft tissue defects in the hand.
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Combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle for reconstruction of complex soft tissue defects in the hand.

机译:基于足底内侧蒂的足底内侧和足底筋膜皮瓣的组合,用于重建手部复杂的软组织缺损。

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摘要

The reconstruction of complex soft tissue defects in hands remains a difficult challenge in reconstructive surgery. In this report, we introduce a combined medialis pedis and medial plantar fasciocutaneous flaps supplied by the lateral and medial branches of the medial plantar artery, which allows a one-stage reconstruction of multiple soft tissue defects in hand. Three combined medialis pedis and medial plantar fasciocutaneous flaps were transferred for repair of the soft tissue defects including palmar and dorsal areas of hand, thumb pulp, and the dorsum of index finger in three patients. All three flaps survived uneventfully with coverage matching the texture and color of the recipients. The donor sites healed without complication. The experience from these cases proves that the combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle would be a valuable alternative for the reconstruction of complex soft tissue defects in the hand.
机译:手中复杂的软组织缺损的重建在重建手术中仍然是一个艰巨的挑战。在本报告中,我们介绍了由足底内侧动脉的外侧和内侧分支提供的足底内侧和足底内侧筋膜皮瓣的组合瓣膜,它可以对多个软组织缺损进行一阶段重建。转移了三个足底内侧肌腱和足底筋膜皮肤皮瓣的组合,修复了三例患者的软组织缺损,包括手掌和背侧区域,手掌,食指和食指的背部。所有三个皮瓣均能顺利存活,覆盖范围与受体的质地和颜色相匹配。供体部位愈合无并发症。从这些案例中获得的经验证明,基于足底内侧蒂的足底内侧和足底筋膜皮瓣的组合将是重建复杂的手部软组织缺损的有价值的选择。

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