双穿支为基础的骨间前动脉岛状皮瓣重建手背缺损:一种新型骨间前动脉穿支的病例报告及描述。

IF 1.3 Q3 SURGERY
Inho Kang, Hyun Rok Lee, Gyu Yong Jung, Joon Ho Lee
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引用次数: 0

摘要

与其他选择相比,骨间动脉(AIA)穿支皮瓣在手背重建中并不常用。然而,它是一个多功能皮瓣有几个优点。关于AIA穿支皮瓣的文献是基于背中隔皮支(DSB),它从AIA分支并穿过拇长伸肌(EPL)和拇短伸肌之间的筋膜。在上述病例中,作者使用AIA穿支皮瓣重建了78岁男性的手背缺损,其中双穿支由DSB提供,新的穿支从远端分支到DSB。无并发症发生,皮瓣完全存活。回顾性计算机断层检查显示21例患者中有14例出现新的穿支。观察了两种新型穿孔器。一个穿过指固有伸肌(EIP)的尺侧,穿过指小伸肌和指共伸肌之间的筋膜,而另一个穿过指小伸肌和指固有伸肌之间。本文描述了新型AIA穿支的解剖位置和临床应用。以双穿孔为基础的AIA皮瓣提供了一种简单、可靠的重建手背缺损的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator.

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator.

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator.

Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator.

The anterior interosseous artery (AIA) perforator flap is not commonly used in hand dorsum reconstruction compared with alternatives. However, it is a versatile flap with several advantages. Literature on the AIA perforator flap is based on the dorsal septocutaneous branch (DSB), which branches from the AIA and passes through fascia between the extensor pollicis longus (EPL) and extensor pollicis brevis muscles. In the described case, the authors reconstructed a hand dorsum defect in a 78-year-old man using an AIA perforator flap with double perforators supplied by the DSB and a new perforator branching from the distal than DSB. No complication was encountered, and the flap survived completely. A retrospective computed tomography review revealed the presence of the new perforator in 14 of 21 patients. Two types of new perforator were observed. One passed through the ulnar side of the extensor indicis proprius (EIP) muscle and penetrated fascia between the extensor digitorum minimi and extensor digitorum communis tendons, whereas the other passed between the EPL and EIP muscles. This report describes the anatomical location and clinical application of the new AIA perforators. The double perforators-based AIA flap provides a straightforward, reliable means of reconstructing hand dorsum defects.

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来源期刊
CiteScore
2.10
自引率
6.70%
发文量
131
审稿时长
10 weeks
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