足底腹股沟瓣治疗上肢损伤的效果。

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2025-10-01 Epub Date: 2024-07-25 DOI:10.1177/15589447241265520
V V N Manohar Devarasetty, Justin W Vickery, Jed I Maslow
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引用次数: 0

摘要

背景:近年来,在上肢损伤的重建中,游离皮瓣重建已成为比足部腹股沟皮瓣更常见的治疗方法。由于各种原因,腹股沟皮瓣仍在使用,但可用于指导外科医生和患者治疗效果的文献有限。本研究旨在调查腓肠肌腹股沟皮瓣治疗上肢病变的流行病学和疗效:该研究是在一家一级创伤中心进行的单机构回顾性病例系列研究,包括1992年至2022年间接受带蒂腹股沟皮瓣治疗上肢软组织覆盖的患者。收集的数据包括患者和损伤特征、手术管理和并发症数据。通过顺序逻辑回归、单变量分析和双变量分析来评估腹股沟皮瓣手术总数和并发症与患者和损伤特征之间的关系:分析包括88例因上肢损伤而进行的带蒂腹股沟皮瓣手术,中位随访时间为伤后1.14年。患者的中位年龄为35岁(四分位间距[IQR]:22-49),中位手术次数为4次(IQR:3-5.25),最常见的并发症为僵硬(90.6%)、皮瓣部分脱落(38%)和感染(32%)。根据序数逻辑回归,高能量损伤增加了需要进行更多手术的风险。单变量和双变量分析显示,患者或损伤特征在伤口并发症方面没有明显差异:结论:因上肢损伤而接受带蒂腹股沟皮瓣手术的患者平均需要进行4次手术,而高能量损伤预示着需要进行更多手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of Pedicled Groin Flaps for Upper Extremity Injuries.

Background: Free flap reconstruction has become the more common treatment over pedicled groin flaps for reconstruction of upper extremity injuries in recent years. Groin flaps are still used for a variety of reasons, though limited literature is available to guide surgeons and patients regarding outcomes. This study aimed to investigate the epidemiology and outcomes of pedicled groin flaps for upper extremity pathology.

Methods: The study was a single-institution retrospective case series at a level one trauma center including patients who underwent pedicled groin flaps for upper extremity soft tissue coverage between 1992 and 2022. The data collected included patient and injury characteristics, surgical management, and complication data. Ordinal logistic regression, univariate analysis, and bivariate analysis were performed to assess the relationship between the total number of groin flap surgeries and complications with patient and injury characteristics.

Results: The analysis included 88 pedicled groin flaps performed for upper extremity injuries, with a median follow-up of 1.14 years after injury. Patients had a median age of 35 (interquartile range [IQR]: 22-49) years and underwent a median of 4 (IQR: 3-5.25) surgeries with stiffness (90.6%), partial flap loss (38%), and infection (32%) as the most common complications. High-energy injuries increased the risk of requiring more surgeries based on ordinal logistic regression. Univariate and bivariate analysis revealed no significant difference in wound complications based on patient or injury characteristics.

Conclusions: Patients undergoing pedicled groin flaps for upper extremity injuries can expect to undergo an average of 4 surgeries, and high-energy injuries predict the need for more surgeries.

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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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