Application of early repair with free tissue transplantation in hand and foot destructive injury
10.3760/cma.j.issn.1001-2036.2017.06.009
- VernacularTitle:急诊游离组织移植在手足毁损伤中的应用
- Author:
Xiaolong DU
1
;
Tao SONG
;
Xuehai OU
;
Jingqiao FAN
;
Hao GUO
;
Yafei LIU
;
Fei CONG
Author Information
1. 西安交通大学医学部附属红会医院骨显微修复外科
- Keywords:
Free flap;
Hand;
Foot;
Destructive Injury;
Transplantation;
Limb salvage therapy;
Mi-crosurgical operation
- From:
Chinese Journal of Microsurgery
2017;40(6):551-554
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method of limb salvage therapy for hand and foot destructive injury, and to clarify the role of free tissue transplantation in limb salvage therapy in patients with hand and foot destructive injury. Methods From January, 2015 to January, 2016, 17 hand and foot destructive injuried patients were treated with limb salvage. The anterolateral thigh free flap, free fibular flap and arterial vein flap were used to repair the skin, soft tissue and bone defects. All patients were followed-up for 12 months. The appearance and function of the patients were evalu-ated after the treatment. The hand scoring criterion was the finger replantation function evaluation standard on probation of the Chinese Medical Association of Hand Surgery. The foot scoring criterion was the Maryland score system. Re-sults All flaps survived in 17 patients. One flap had vascular crisis after operation, and survived after vascular ex-ploratory operation. One case had infection postoperation and healed after several debridements. After 12 months, the functional scores were excellent in 5 cases, good in 5 cases, moderate in 3 cases and poor in 4 cases. Conclusion The early repair with free tissue transplantation can preserve limb length, cover the exposed bone and tendon, and improve the anti-infective ability, so as to improve the function of limb salvage and patient 's satisfaction.
