Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery · 2008
[Repair of large defects in upper extremities with pedicled combined flap].
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Huang Xu, Xie Ting-Hong, Yang Xing-Hua, Zhang Ming-Hua, Zhang Pi-Hong, Long Jian-Hong, Huang Xiao-Yuan
Аннотация
OBJECTIVE: To explore the flap transposition for repairing large defects in upper extremities.
METHODS: 12 cases with large defects in elbow, forearm, wrist or palm caused by high-voltage electricity, hot-pressure or crush, were treated. 4 cases were treated with latissimus dorsal myocutaneous flaps combined iliolumbar flaps. 2 cases were treated with latissimus dorsal myocutaneous flaps combined lateral thoracic flaps. 6 cases were treated with large combined thoracic-abdomen flaps.
RESULTS: All the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved.
CONCLUSIONS: Early debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.
METHODS: 12 cases with large defects in elbow, forearm, wrist or palm caused by high-voltage electricity, hot-pressure or crush, were treated. 4 cases were treated with latissimus dorsal myocutaneous flaps combined iliolumbar flaps. 2 cases were treated with latissimus dorsal myocutaneous flaps combined lateral thoracic flaps. 6 cases were treated with large combined thoracic-abdomen flaps.
RESULTS: All the flaps survived except for one flap with 2 cm distal necrosis and sub-flap infection. Satisfactory results were achieved.
CONCLUSIONS: Early debridement and reconstruction with pedicled combined flaps are feasible and reliable for large defects in the upper extremities.