前肢截肢:前臂游离皮瓣腓骨肌神经重建。

Q3 Medicine

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI:10.1097/BTH.0000000000000424

Adrian Markewych, Mark Hansdorfer, Alan Blank, George Kokosis, David E Kurlander

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引用次数: 0

摘要

前肢截肢是一种罕见的手术，有可能延迟伤口愈合，慢性疼痛和功能障碍。在皮肤和软组织丢失的情况下，重建可能特别具有挑战性。在这里，我们报告了一位79岁的女性，她患有复发性的，先前放射的左肩软骨肉瘤，她接受了前臂皮瓣的“备件”片段的前肢截肢和靶向肌肉神经移植到皮瓣上。患者无并发症愈合，并以最小的疼痛实现了神经再生。

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Forequarter Amputation: Reconstruction With Targeted Muscle Reinnervation to the Filet of Forearm Free Flap.

Forequarter amputation is a rarely indicated operation that has the potential for delayed wound healing, chronic pain, and dysfunction. Reconstruction in cases of skin and soft tissue loss may be particularly challenging. Here we present a 79-year-old female with recurrent, previously radiated left shoulder chondrosarcoma who underwent forequarter amputation with a 'spare parts' filet of forearm flap and targeted muscle reinnervation to the flap. The patient healed without complication and achieved reinnervation with minimal pain.

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来源期刊

Techniques in Hand and Upper Extremity Surgery Medicine-Surgery

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Techniques in Hand & Upper Extremity Surgery presents authoritative, practical information on today"s advances in hand and upper extremity surgery. It features articles by leading experts on the latest surgical techniques, the newest equipment, and progress in therapies for rehabilitation. The primary focus of the journal is hand surgery, but articles on the wrist, elbow, and shoulder are also included. Major areas covered include arthroscopy, microvascular surgery, plastic surgery, congenital anomalies, tendon and nerve disorders, trauma, and work-related injuries.