Treatment of Patients With Electrical Injury by Using Modified Forearm Venous Flap: Retrospective Case Series Study.

IF 1.4 4区 医学 Q3 SURGERY
Annals of Plastic Surgery Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI:10.1097/SAP.0000000000004027
Chenglan Yang, Qi Wang, Xueqin Zeng, Jian Zhou, Lingli Jiang, Peng Hu, Zairong Wei
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引用次数: 0

Abstract

Objective: Severe hand electrical injuries often occur in functional areas such as joints; the repair requires attention to both appearance and function due to the visibility of the hand. This study aimed to present the clinical experience of successfully repairing hand electrical injuries using improved forearm venous flaps.

Methods: From 2020 to 2022, 15 cases of severe hand electrical injuries were diagnosed, including 10 males and 5 females. Among them, 6 cases were repaired in the first web space, 4 in the thumb, 3 in the index finger, 2 in the middle finger, 2 in the ring finger, and 2 in the little finger. The size of venous flaps ranged from 2.0 cm × 1.8 cm to 12 cm × 4.0 cm. All patients underwent repair using improved forearm venous flaps. The follow-up period ranged from 5 to 8 months.

Results: All flaps survived without serious complications. All patients were satisfied with the postoperative aesthetics and function of their hands.

Conclusion: The improved forearm venous flap is a simple and reliable method for repairing hand electrical injuries.

使用改良前臂静脉皮瓣治疗电击伤患者:回顾性病例系列研究。
目的:严重的手部电击伤通常发生在关节等功能部位;由于手部的可见性,修复时需要同时注意外观和功能。本研究旨在介绍利用改良前臂静脉皮瓣成功修复手部电损伤的临床经验:2020年至2022年,共确诊15例严重手部电损伤患者,其中男性10例,女性5例。其中,第一蹼间隙修复 6 例,拇指修复 4 例,食指修复 3 例,中指修复 2 例,无名指修复 2 例,小指修复 2 例。静脉瓣的大小从 2.0 厘米 × 1.8 厘米到 12 厘米 × 4.0 厘米不等。所有患者都使用改良的前臂静脉皮瓣进行了修复。随访时间为 5 至 8 个月:结果:所有皮瓣均存活,无严重并发症。结果:所有皮瓣均存活,未出现严重并发症,所有患者对术后手部美观和功能均表示满意:结论:改良前臂静脉皮瓣是一种简单可靠的手部电损伤修复方法。
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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
584
审稿时长
6 months
期刊介绍: The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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