- 期刊
Flow-Throung Medialis Pedis Flap for One Stage Reconstruction of Soft Tissue Defect and Revascularization of an Ischemic Finger-One Case Report
利用流穿(F1ow-Through)足內皮瓣同時來重建手指的缺血併軟組織缺損－病例報告
摘要
手指的嚴重創傷可使軟組織受損，並導致底層重要結構的暴露。若此時合併有指動脈的斷節性壓碎所造成手指缺血，則問題更形複雜。在此我們提出一個案例，利用足內皮瓣的流穿(flow-through)同時重建血流及軟組織之缺損。術後追蹤，病人第五指的外形、感覺及運動，均甚滿意。由這個例子，我們可以學到此皮瓣的幾個優點： 1.厚度薄，與手指有類似的顏色和構造； 2.俱有與手指相同的平滑性質的皮瓣(glabrous skin)，使其有較好的感覺恢復； 3.提供流穿(flow-through)的通道； 4.供瓣區不明顯以及很少的併發症(morbidity)。
關鍵字
無資料並列摘要
Severe trauma to the finger may cause extensive soft tissue damage and result in exposure of vital structures. The problem becomes even more profound when the finger is devascularized resulted from segmental crush of the digital arteries. We present such a case which we used a flow- through medialis pedis flap for revascularization as well as for reconstruction of coverage defect in one operation. From this example we learned a lot of advantages of this flap for one stage restoration of distal circulation and coverage defect reconstruction in the finger.
延伸閱讀
- Cheng, Y., Tai, H. C., & Hsieh, J. H. (2019). 利用游離腳趾甲床皮瓣來重建外傷性手指甲變形－個案報告與文獻回顧. 臺灣整形外科醫學會雜誌, 28(4), 289-295. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201912-202001140018-202001140018-289-295
- Chih, W. C., Chang, S. H., Tung, K. Y., Huang, W. C., & Yu, C. M. (2013). 以改良式靜脈皮瓣重建手指缺損. 臺灣整形外科醫學會雜誌, 22(4), 304-313. https://www.airitilibrary.com/Article/Detail?DocID=a0000593-201312-201401160027-201401160027-304-313
- Cheng, L. F., Lee, J. T., Sun, T. B., Chiu, M. C. H., Huang, C. C., Chien, S. H., & Wang, H. J. (2001). 游離靜脈皮瓣於手指、足趾之缺損重建－病例報告及文獻回顧. 中華民國整形外科醫學會雜誌, 10(2), 134-144. https://doi.org/10.7096/JPSA.200106.0010
- Liao, H. H., Chuang, S. L., & Chou, M. C. (2003). 應用迷你足背動脈自由皮瓣重建手部皮膚軟組織缺損. 中山醫學雜誌, 14(2), 335-340. https://doi.org/10.30096/CSMJ.200305.0015
- Cheng, M. H., Chen, H. C., Chen, S. H., Chuang, D. C., Wei, F. C., & Noordhoff, M. S. (1996). 應用顯微血管性自由後骨間動脈皮瓣重建手部軟組織缺損－二病例報告. 中華民國重建整形外科醫學會雜誌, 5(4), 245-253. https://doi.org/10.7096/JPRSA.199612.0009