大腿前外侧皮瓣和髂腹股沟皮瓣联合治疗严重下肢创伤患者的早期经验

IF 0.4 4区 医学 Q4 SURGERY
Lei Shan, Junlin Zhou, Jianwen Zhao, Zhihao Yu, Fei Wang, Jianzheng Zhang, Xiaowei Wang
{"title":"大腿前外侧皮瓣和髂腹股沟皮瓣联合治疗严重下肢创伤患者的早期经验","authors":"Lei Shan, Junlin Zhou, Jianwen Zhao, Zhihao Yu, Fei Wang, Jianzheng Zhang, Xiaowei Wang","doi":"10.1007/s12262-024-04069-y","DOIUrl":null,"url":null,"abstract":"<p>To introduce an experience of an anterolateral thigh flap combined with an ilioinguinal flap (ALT-SCIA) for treating severe skin trauma. Retrospective cohort data of 13 cases with complicated lower leg wounds admitted between June 2017 and October 2018 who underwent the ALT-SCIA were studied. The conjoined flap was designed according to the descending branch of the superficial circumflex iliac artery and the lateral circumflex femoral artery. The baseline data and operative details were collected from electronic medical records. These enrolled cases included eleven men and two women, aging from 24 to 55 years old. They underwent an average follow-up of 26.3 months. All flaps survived during the first stage and had good blood circulation, a plump appearance, soft texture, similar color to the receiving area, and no pigmentation. The eventual review presented those four cases acquired bone grafting treatments due to bone defect. The ALT-SCIA method provides adequate composite soft tissue coverage of large defects in the lower leg. Our study found that the flaps could provide abundant tissue and a relatively well-concealed donor area, and showed a relatively good clinical efficacy.</p>","PeriodicalId":13391,"journal":{"name":"Indian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early Experience of Combined Anterolateral Thigh Flap and Ilioinguinal Flap in Patients with Severe Lower Extremity Trauma\",\"authors\":\"Lei Shan, Junlin Zhou, Jianwen Zhao, Zhihao Yu, Fei Wang, Jianzheng Zhang, Xiaowei Wang\",\"doi\":\"10.1007/s12262-024-04069-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>To introduce an experience of an anterolateral thigh flap combined with an ilioinguinal flap (ALT-SCIA) for treating severe skin trauma. Retrospective cohort data of 13 cases with complicated lower leg wounds admitted between June 2017 and October 2018 who underwent the ALT-SCIA were studied. The conjoined flap was designed according to the descending branch of the superficial circumflex iliac artery and the lateral circumflex femoral artery. The baseline data and operative details were collected from electronic medical records. These enrolled cases included eleven men and two women, aging from 24 to 55 years old. They underwent an average follow-up of 26.3 months. All flaps survived during the first stage and had good blood circulation, a plump appearance, soft texture, similar color to the receiving area, and no pigmentation. The eventual review presented those four cases acquired bone grafting treatments due to bone defect. The ALT-SCIA method provides adequate composite soft tissue coverage of large defects in the lower leg. Our study found that the flaps could provide abundant tissue and a relatively well-concealed donor area, and showed a relatively good clinical efficacy.</p>\",\"PeriodicalId\":13391,\"journal\":{\"name\":\"Indian Journal of Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2024-04-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s12262-024-04069-y\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12262-024-04069-y","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

介绍大腿前外侧皮瓣联合髂腹股沟皮瓣(ALT-SCIA)治疗严重皮肤创伤的经验。研究2017年6月至2018年10月期间收治的13例复杂小腿创伤患者接受ALT-SCIA的回顾性队列数据。根据髂浅周动脉降支和股外侧周动脉设计了连体皮瓣。基线数据和手术细节均来自电子病历。这些入选病例包括 11 名男性和 2 名女性,年龄在 24 至 55 岁之间。他们平均接受了 26.3 个月的随访。所有皮瓣均在第一阶段存活,血液循环良好,外观丰满,质地柔软,颜色与受区相似,无色素沉着。最终的综述介绍了这四例因骨缺损而进行植骨治疗的病例。ALT-SCIA 方法可为小腿大面积缺损提供充分的复合软组织覆盖。我们的研究发现,皮瓣可提供丰富的组织和相对隐蔽的供区,并显示出较好的临床疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Early Experience of Combined Anterolateral Thigh Flap and Ilioinguinal Flap in Patients with Severe Lower Extremity Trauma

Early Experience of Combined Anterolateral Thigh Flap and Ilioinguinal Flap in Patients with Severe Lower Extremity Trauma

To introduce an experience of an anterolateral thigh flap combined with an ilioinguinal flap (ALT-SCIA) for treating severe skin trauma. Retrospective cohort data of 13 cases with complicated lower leg wounds admitted between June 2017 and October 2018 who underwent the ALT-SCIA were studied. The conjoined flap was designed according to the descending branch of the superficial circumflex iliac artery and the lateral circumflex femoral artery. The baseline data and operative details were collected from electronic medical records. These enrolled cases included eleven men and two women, aging from 24 to 55 years old. They underwent an average follow-up of 26.3 months. All flaps survived during the first stage and had good blood circulation, a plump appearance, soft texture, similar color to the receiving area, and no pigmentation. The eventual review presented those four cases acquired bone grafting treatments due to bone defect. The ALT-SCIA method provides adequate composite soft tissue coverage of large defects in the lower leg. Our study found that the flaps could provide abundant tissue and a relatively well-concealed donor area, and showed a relatively good clinical efficacy.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信