游离腓肠内侧动脉穿支皮瓣修复手部软组织缺损的尸体研究。

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.hansur.2024.102070

Pierre-Louis Coulet , Claire Muller , François Dap , Lionel Athlani

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引用次数: 0

摘要

为了探讨游离腓肠内侧动脉穿支皮瓣修复手部软组织缺损的可行性和可重复性，我们采用10条新鲜冷冻成人的腿和手进行了尸体研究。平均发现2个皮肤穿孔（1-4）。每个皮瓣有一个蒂，由一个主要穿支组成，该穿支起源于腓肠内侧动脉。腘窝中间至主穿支出现的距离为10±1.9 cm。蒂长度为13±1.6 cm。包括动脉（直径：2.5±0.6 mm）和静脉（直径：3.2±1.2 mm）。皮叶厚度8.5±1.9 mm。使用8 × 8厘米的皮肤桨，总是可以覆盖整个手掌和手背。我们的研究结果表明，这种自由皮瓣是手部大面积皮肤缺损的可靠和可重复的选择，提供了传统皮瓣的有效替代。证据水平：iv。

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Free medial sural artery perforator flap for soft tissue defects in the hand: a cadaver study

We carried out a cadaver study using 10 fresh-frozen adult legs and hands to explore technical feasibility and reproducibility of the free Medial Sural Artery Perforator flap and its applicability for covering soft tissue defects in the hand. A mean of 2 cutaneous perforators (1–4) were found. Each flap had a pedicle composed of a main perforator that arose from the medial sural artery. Distance between the middle of the popliteal fossa and the emergence of the main perforator was 10 ± 1.9 cm. The pedicle length was 13 ± 1.6 cm. It included an artery (diameter: 2.5 ± 0.6 mm) and a vein (diameter: 3.2 ± 1.2 mm). Skin paddle thickness was 8.5 ± 1.9 mm. Using an 10 × 8 cm skin paddle, it was always possible to cover the entire palmar and dorsal sides of the hand. Our findings suggest that this free flap is a reliable and reproducible option for large cutaneous defects of the hand, offering an effective alternative to conventional flaps.

Level of evidence

IV.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.