CAJ | 학술논문

目的介绍上臂外侧逆行岛状皮瓣修复前臂近端截肢后残端创面的临床经验.方法对前臂近端截肢后残端创面采用上臂外侧逆行岛状皮瓣修复.结果临床应用共10例,术后皮瓣8例顺利存活,2例血流稍许受限,拆除蒂部缝线后完全存活.有6例获得3个月的随访,残端伤口愈合佳,皮瓣外形满意,不臃肿,肘关节伸屈活动基本正常,能满足接装义肢的需要.结论采用上臂外侧逆行岛状皮瓣是修复前臂残端创面的好方法.
목적 개소상비외측역행도상피판수복전비근단절지후잔단창면적림상경험.방법 대전비근단절지후잔단창면채용상비외측역행도상피판수복.결과 림상응용공10례,술후피판8례순리존활,2례혈류초허수한,탁제체부봉선후완전존활.유6례획득3개월적수방,잔단상구유합가,피판외형만의,불옹종,주관절신굴활동기본정상,능만족접장의지적수요.결론 채용상비외측역행도상피판시수복전비잔단창면적호방법.
Objective To introduce the clinical experience of the application of lateral upper arm retrograde island flap for coverage of stump wound after forearm amputation.Methods The lateral upper arm retrograde island flap was transferred to cover the wound at the stump that was resulted from forearm amputation.Results This flap was applied in a total of 10 cases.Flaps in 8 cases survived uneventfully.Compromised perfusion was observed in 2 cases which were remedied by removing stitches at the pedicle.These 2 flaps also survived completely.Sufficient follow-up was obtained in 6 cases for 3 months.The stump wounds healed well.The flaps were not bulky.The appearance and elbow function were satisfactory.The stump met requirements for prosthetic fitting.Conclusion Lateral upper arm retrograde island flap is a good option for coverage of stump wound after forearm amputation.