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Distant Pedicle Flaps for Soft Tissue Coverage of Severely Burned Hands: An Old Idea Revisited.

机译：用于严重烧伤手的软组织覆盖的远端椎弓根皮瓣：一个旧的想法重新审视。

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Burns to the hand that are complicated by exposure of bone, joint or tendon cannot be closed with conventional skin grafts and require flap procedures to prevent further damage. Local or regional flaps may be unavailable if electrical or blast trauma produces a large zone of injury, or when forearm burn injury extends beyond fascia. Free tissue transfer may not be tolerated by critically ill burn patients. In these circumstances, distant pedicle flaps are one option for safe and effective soft tissue coverage. Over a 5-year period, we have performed six distal pedicle flaps for coverage of exposed hand structures when local or free flaps were contraindicated or unavailable. The patients required an average of 4.5 surgical procedures to complete hand reconstruction and soft tissue coverage. Soft tissue coverage was completely successful in five patients and partially successful in one patient. Single stage local or free flaps remain the treatment of choice when burned hands cannot be covered with skin grafts. When these flap options are not available, distant pedicle flaps provide a safe alternative.

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作者
Barillo, D. J.; Arabitg, R.; Cancio, L. C.; Goodwin, C. W.;
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年度 2001
页码 1-8
总页数 8
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Burns(injuries); Hands; Soft tissues; Arms(anatomy); Damage control; Emergency medicine; Experimental design; Exposure(physiology); Extremities; Fascia; Patients; Regeneration(physiology); Repair; Skin grafts; Tendons; Trauma; Pedicle flaps; Soft tissue coverage; Wound repair;

机译：烧伤（受伤）;手;软组织;手臂（解剖学）;损伤控制;急诊医学;实验设计;暴露（生理学）;肢体;筋膜;患者;再生（生理学）;修复;皮肤移植;肌腱;创伤;椎弓根皮瓣;软组织覆盖;伤口修复;

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专利

1. Distant pedicle flaps for soft tissue coverage of severely burned hands: an old idea revisited. [J] . Barillo DJ, Arabitg R, Cancio LC, Burns: Including Thermal Injury . 2001,第6期

机译：远端蒂蒂皮瓣用于严重烧伤的手的软组织覆盖：一个古老的想法被重新审视。
2. The abdominal flap-graft for coverage of soft tissue defects of the dorsum of hand and fingers in burn patients. Six cases reports [J] . Forli A, Voulliaume D, Comparin JP, Annales de chirurgie plastique et esthetique . 2005,第2期

机译：腹部皮瓣移植物用于烧伤患者手背和手指背部软组织缺损的覆盖。六例报告
3. Superthin Abdominal Wall Glove-Like Flap Combined With Vacuum-Assisted Closure Therapy for Soft Tissue Reconstruction in Severely Burned Hands or With Infection [J] . Wang Fei, Liu Sheng, Qiu Le, Annals of Plastic Surgery . 2015,第6期

机译：超薄腹壁手套状皮瓣结合真空辅助闭合疗法，可用于严重烧伤的手或感染的软组织重建
4. The Study on the Nursing Intervention of the Pedicle Flap Transposition Repairing Traumatic Tissue Defect in the Hands [C] . Ning Jia, Xiaoting Zhou, Fenge Wang, International Forum on Bioinformatics and Medical Engineering . 2015

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6. Extremity soft tissue coverage in the combat zone: use of pedicled flap transfers by the deployed orthopedic surgeon [O] . Laurent MATHIEU, Soryapong PLANG, Nicolas de l’ESCALOPIER, 2020

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7. Double-Pedicled Free Deep Inferior Epigastric Perforator Flap for the Coverage of Thigh Soft-Tissue Defect [O] . Olimpiu Bota, MD, Nick Spindler, MD, Jeannine Sauber, MD, 2017

机译：双蒂自由深度下腹部穿孔皮瓣覆盖大腿软组织缺损

Distant Pedicle Flaps for Soft Tissue Coverage of Severely Burned Hands: An Old Idea Revisited.

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