在复合组织缺失的手部损伤中使用双管骨纤维皮瓣重建双轨掌骨：病例报告。

IF 0.6 Q4 ORTHOPEDICS

Malaysian Orthopaedic Journal Pub Date : 2024-11-01 DOI:10.5704/MOJ.2411.010

J K Mishra, S A Sahu, A Sindhuja, B K Kar, A Saha

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引用次数: 0

摘要

游离腓骨瓣是治疗头、颈、四肢长骨缺损的主要方法。我们讨论重建的挑战在一个不寻常的手损伤的情况下，涉及多个掌骨和软组织的损失，惊人的保存手指血管。重建目标是通过微血管骨皮腓骨皮瓣转移和多次截骨来创建掌骨和软组织缺损与皮肤板修复的相似图像。就功能增益而言，结果足以管理日常活动。我们分享我们的经验，重建这个独特的复杂的手部损伤。

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Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report.

Free fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were addressed with a microvascular osteocutaneous fibula flap transfer with multiple osteotomies to create spitting images of metacarpals and soft tissue defects restored with the skin paddle. The outcome, in terms of functional gain, was sufficient for managing day-to-day activities. We share our experience in reconstructing this unique presentation of a complex hand injury.

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来源期刊

Malaysian Orthopaedic Journal ORTHOPEDICS-

CiteScore

1.30

自引率

0.00%

发文量

104

审稿时长

24 weeks

期刊介绍： The Malaysian Orthopaedic Journal is a peer-reviewed journal that publishes original papers and case reports three times a year in both printed and electronic version. The purpose of MOJ is to disseminate new knowledge and provide updates in Orthopaedics, trauma and musculoskeletal research. It is an Open Access journal that does not require processing fee or article processing charge from the authors. The Malaysian Orthopaedic Journal is the official journal of Malaysian Orthopaedic Association (MOA) and ASEAN Orthopaedic Association (AOA).