“游戏中的小皮肤”:儿童骨科手术中的全厚度皮肤移植

Pradeep K. Attaluri, E. Shaffrey, Peter J. Wirth, Natalie M. Gaio, M. Bentz
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引用次数: 0

摘要

先天性矫形畸形和获得性儿童肢体创伤经常需要软组织包膜重建。在许多这种情况下,全层皮肤移植(FTSG)是一种可靠和适当的重建选择。然而,在骨科文献中很少讨论FTSG的收获。我们提出了一种可靠的、可重复的、易于操作的全层皮肤移植方法。在这项技术中,我们使用对称的耻骨上横向中线切口(即Pfannenstiel切口)从下腹收获全层皮肤移植物。这个供体部位允许大量的皮肤移植收获,同时提供一个隐蔽的位置和潜在的额外移植收获。最后,我们讨论了术后受体部位敷料对优化植皮效果的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“A Little Skin in the Game”: Full Thickness Skin Grafting in Pediatric Orthopaedic Surgery
Congenital orthopaedic anomalies and acquired pediatric wounds of the extremities frequently require reconstruction of the soft tissue envelope. In many of these circumstances, full-thickness skin grafting (FTSG) is a reliable and appropriate reconstructive option. However, FTSG harvest is rarely discussed in the orthopaedic literature. We present a reliable and reproducible method of full-thickness skin grafting that is easily performed. In this technique, we harvest a full-thickness skin graft from the lower abdomen using a symmetric transverse midline suprapubic incision (i.e., Pfannenstiel incision). This donor site allows for abundant skin graft harvest while providing a concealed location and the potential for additional graft harvest. Finally, we discuss the critical importance of postoperative recipient site dressings to optimize skin graft take.
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