V-Y封闭岛阔筋膜肌瓣解决转子性溃疡

Valentín A Mogliani, A. Arza, C. Lorefice, Francisco Olivero Vila
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引用次数: 0

摘要

colgajo musculocutáneo转子溃疡是最常见的压疮之一,通常与滑囊炎有关,因此其治疗较为复杂。材料和方法。我们报告一例29岁男性患者,有脊髓损伤(SCI)的病史,与弛缓性截瘫和右转子垂直椭圆疮的发展有关。经多学科联合治疗,病理切除后立即用阔筋膜张肌皮瓣重建。结果。患者于术后第21天出院。随访6个月,无伤口感染、缝合线开裂、复发等并发症发生。美学和功能效果令人满意。结论。提升TFL瓣与V-Y关闭是一个可重复的,可靠的和通用的程序覆盖转子压力疮缺陷。然而,所有的手术技术必须考虑,以避免并发症和复发的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resolución de úlcera trocantérea mediante colgajo musculocutáneo de fascia lata en isla con cierre en V-Y
colgajo musculocutáneo ABSTRACT Background. Trochanteric ulcer is one of the most frequent pressure sore and is usually related with bursitis, therefore its treatment is complex. Material and Methods. We present a case of a 29 year-old male patient with me- dical history of spinalcord injury (SCI) related to flaccid paraplegia and the deve lopment of right trochanteric vertical elliptical sore. He was treated by a multi- disciplinary team and solved by the resection of the pathology and immediate reconstruction with tensor fascia lata (TFL) musculo cutaneous flap. Results. The patient was discharged from the institution on the 21st postopera-tive day. With a follow-up of a 6 months period, complications such as wound in- fection, suture dehiscense or recurrence were not observed. Aesthetic and func-tional results were satisfactory. Conclusion. Ascended TFL flap with a V-Y closure is a reproducible, reliable and versatile procedure for the coverage of trochanteric pressure sore defects. However all surgical techniques tages must be considered in order to avoid com- plications and recurrence of the disease.
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