west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "张宏勋" 2 results
  • REPAIR OF SEVERE NAIL BED DEFECTS WITH RADIAL DORSAL FASCIOCUTANEOUS FLAP OF THUMB

    Objective To summarize the effectiveness of radial dorsal fasciocutaneous flap of thumb for repairing severe nail bed defects. Methods Between May 2009 and January 2012, 16 patients with severe nail bed defect were treated with radial dorsal fasciocutaneous flap of the thumb. There were 10 males and 6 females, aged 16-54 years (mean, 36 years). The causes of injury included crush injury in 10 cases, chainsaw injury in 4 cases, and scald in 2 cases; injured fingers were thumb in 3 cases, index finger in 4 cases, middle finger in 5 cases, ring finger in 3 cases, and little finger in 1 case. The time between injury and operation was 2 hours to 8 days (mean, 19.3 hours). Of 16 patients, 9 complicated by distal phalanx fracture. The area of defect ranged from 0.9 cm × 0.6 cm to 2.3 cm × 2.1 cm. According to ZHOU Qingwen’s grading system for nail bed defects, 6 cases were rated as degree III and 10 cases as degree IV. The area of flap ranged from 1.0 cm × 0.6 cm to 2.5 cm × 2.2 cm. Retrograde transposition was performed to repair the thumb defect, and pedicled transposition to repair the 2nd-5th fingers defects. The donor sites were directly sutured or were repaired with skin graft. Results All flaps and skin grafts survived, and wounds healed by first intention. All patients were followed up 6-12 months (mean, 8 months). The color, texture, and contour of the flaps were good. According to total active motion standard, the finger function was assessed as excellent in 10 cases, good in 4 cases, and fair in 2 cases, and the excellent and good rate was 87.5%. Conclusion Radial dorsal fasciocutaneous flap of thumb is a reliable flap with easy dissection and less trauma in repair of severe nail bed defects.

    Release date:2016-08-31 04:07 Export PDF Favorites Scan
  • 应用游离胫后动脉穿支皮瓣修复头皮大面积皮肤缺损

    目的 介绍游离胫后动脉穿支皮瓣修复头皮大面积皮肤软组织缺损的方法及临床疗效。 方 法 2007年2月-2009年10月,收治4例交通事故伤导致的头皮大面积皮肤软组织缺损女性患者。年龄28~49岁,中位年龄35岁。伤后12 h~12 d入院。创面均伴颅骨外露,清创后皮肤软组织缺损范围为6.0 cm × 5.5 cm~8.0 cm × 6.0 cm。采用大小为7.0 cm × 6.5 cm ~ 9.0 cm × 7.0 cm的游离胫后动脉穿支皮瓣修复创面。供区直接拉拢缝合1例,中厚皮片游离移植修复3例。 结果 术后皮瓣及植皮均顺利成活,创面Ⅰ期愈合。患者均获随访,随访时间6~12个月。皮瓣质地柔软,色泽与周围正常皮肤相似,皮瓣略高出周围皮肤。 结论 游离胫后动脉穿支皮瓣质地优良,血供可靠,修复头皮大面积皮肤软组织缺损后可获得较理想外形。

    Release date:2016-08-31 05:45 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content