Consecutive flap transfer for repairing massive soft tissue defects in the opisthenar with improved donor site closure / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 256-260, 2014.
Article
em En
| WPRIM
| ID: wpr-358852
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore a surgical model of utilizing consecutive free scapular flap and adjacent pedicled flap transfer for repairing massive soft tissue defects on the dorsum of the hand while minimizing the donor site morbidity.</p><p><b>METHODS</b>Six patients with massive soft tissue injuries on the opisthenar and forearm were treated with free scapular flaps. Afterwards, a pedicled flap adjacent to the donor site was transferred to cover the donor site defect by direct closure.</p><p><b>RESULTS</b>All six free scapular flaps survived without signs of infection. Three adjacent pedicled flaps presented minor signs of insufficient blood flow on the distal apex, which resolved after six weeks with only conservative therapy. All the incisions healed without other complications. At six-month follow-up, the patients regained full shoulder function.</p><p><b>CONCLUSION</b>With the assistance of an adjacent pedicled flap, the scapular flap is a highly applicable approach in repairing massive soft tissue defects in the opisthenar. It can achieve positive outcomes in both reconstructive and aesthetic aspects.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Traumatismos do Braço
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Escápula
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Cirurgia Geral
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Retalhos Cirúrgicos
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Drenagem
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Resultado do Tratamento
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Lesões dos Tecidos Moles
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Procedimentos de Cirurgia Plástica
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Desbridamento
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Traumatismos da Mão
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2014
Tipo de documento:
Article