Volume 40 Issue 9
Sep.  2024
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Hu DH,Zhang Y.Exploration on the techniques and strategies for repair and reconstruction of destructive wounds[J].Chin J Burns Wounds,2024,40(9):812-817.DOI: 10.3760/cma.j.cn501225-20240807-00296.
Citation: Hu DH,Zhang Y.Exploration on the techniques and strategies for repair and reconstruction of destructive wounds[J].Chin J Burns Wounds,2024,40(9):812-817.DOI: 10.3760/cma.j.cn501225-20240807-00296.

Exploration on the techniques and strategies for repair and reconstruction of destructive wounds

doi: 10.3760/cma.j.cn501225-20240807-00296
Funds:

Key Program of National Natural Science Foundation of China 81530064

General Program of National Natural Science Foundation of China 81772071

Special Science Research Program for National Health and Public Welfare Industry in China 201502015

More Information
  • The tissue damage of destructive wounds is severe, and its repair and reconstruction are complex and difficult, making it difficult to achieve the desired goal of the treatment outcomes of function and appearance. In recent years, the repair and reconstruction of destructive wounds have received widespread attention and significant progress has been made. However, some key technical bottlenecks still require to be explored and broken through, and the perfect and effective treatment strategies need to be established and standardized. This article briefly discusses the concept of destructive wounds, etiological diagnosis and treatment, injury assessment, principles and technical methods of repair and reconstruction, as well as the key difficult problems that need to be solved. The aim is to attract the attention and discussion of colleagues in the field, providing a reference for further improving the ability in repair and reconstruction of destructive wounds and optimizing the therapeutic effects.

     

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  • [1]
    张丕红.毁损伤的成因与评估及其修复策略优化探讨[J].中华烧伤杂志,2021,37(7):601-605.DOI: 10.3760/cma.j.cn501120-20210119-00029.
    [2]
    沈余明.毁损性创面的修复策略[J/CD].中华损伤与修复杂志(电子版),2019,14(2):81-84.DOI: 10.3877/cma.j.issn.1673-9450.2019.02.001.
    [3]
    GregoryRT,GouldRJ,PecletM,et al.The mangled extremity syndrome (M.E.S.): a severity grading system for multisystem injury of the extremity[J].J Trauma,1985,25(12):1147-1150.
    [4]
    许永安,张茂.严重创伤损害控制治疗策略的应用进展[J].创伤外科杂志,2018,20(11):879-880,封3.DOI: 10.3969/j.issn.1009-4237.2018.11.024.
    [5]
    HoogervorstLA,HartMJ,SimpsonPM,et al.Outcomes of severe lower limb injury with Mangled Extremity Severity Score ≥ 7[J].Bone Joint J,2021,103-B(4):769-774.DOI: 10.1302/0301-620X.103B4.BJJ-2020-1647.R1.
    [6]
    AbdoEM,FaroukN,EIimamSE,et al.Mangled extremity severity score in the assessment of extremity injuries - is it reliable?[J].Vasc Endovascular Surg,2023,57(5):445-450.DOI: 10.1177/15385744231152024.
    [7]
    张伟, 张卫东, 陈斓, 等. 游离组织瓣修复巨大毁损性烧伤创面的策略及临床效果[J]. 中华烧伤与创面修复杂志, 2024, 40(9): 818-827. DOI: 10.3760/cma.j.cn501225-20240609-00218.
    [8]
    VyasK,BakriK,GibreelW,et al.Facial transplantation[J].Facial Plast Surg Clin North Am,2022,30(2):255-269.DOI: 10.1016/j.fsc.2022.01.011.
    [9]
    LänginM,MayrT,ReichartB,et al.Consistent success in life-supporting porcine cardiac xenotransplantation[J].Nature,2018,564(7736):430-433.DOI: 10.1038/s41586-018-0765-z.
    [10]
    SykesM.Developing pig-to-human organ transplants[J].Science,2022,378(6616):135-136.DOI: 10.1126/science.abo7935.
    [11]
    GeorgescuAV,BattistonB.Mangled upper extremity: our strategy of reconstruction and clinical results[J].Injury,2021,52(12):3588-3604.DOI: 10.1016/j.injury.2021.04.004.
    [12]
    ZeidermanMR,PuLLQ.Contemporary reconstruction after complex facial trauma[J/OL].Burns Trauma,2020,8:tkaa003[2024-08-07].https://pubmed.ncbi.nlm.nih.gov/32341916/.DOI: 10.1093/burnst/tkaa003.
    [13]
    QiaoZ,WangX,DengY,et al.Clinical application of pre-expanded perforator flaps[J].Facial Plast Surg Aesthet Med,2023,25(1):68-73.DOI: 10.1089/fpsam.2021.0169.
    [14]
    ImaizumiA,KadotaH.Perforator branch flaps[J].J Plast Reconstr Aesthet Surg,2020,73(7):1255-1262.DOI: 10.1016/j.bjps.2019.09.036.
    [15]
    LeeYJ,KimJ,LeeCR,et al.Anterolateral thigh chimeric flap: an alternative reconstructive option to free flaps for large soft tissue defects[J].J Clin Med,2023,12(21):6723.DOI: 10.3390/jcm12216723.
    [16]
    LiuJ,HanJ,JiG,et al.Laparoscopic harvest and free transplantation of great omentum flap for extensive tissue defects in complex wounds[J].JPRAS Open,2024,39:1-10.DOI: 10.1016/j.jpra.2023.10.012.
    [17]
    FadilahNIM,RihaSM,MazlanZ,et al.Functionalised-biomatrix for wound healing and cutaneous regeneration: future impactful medical products in clinical translation and precision medicine[J].Front Bioeng Biotechnol,2023,11:1160577.DOI: 10.3389/fbioe.2023.1160577.
    [18]
    ArabpourZ,AbediF,SalehiM,et al.Hydrogel-based skin regeneration[J].Int J Mol Sci,2024,25(4):1982.DOI: 10.3390/ijms25041982.
    [19]
    DasP,MannaS,RoyS,et al.Polymeric biomaterials-based tissue engineering for wound healing: a systemic review[J/OL].Burns Trauma,2023,11:tkac058[2024-08-07].https://pubmed.ncbi.nlm.nih.gov/36761088/.DOI: 10.1093/burnst/tkac058.
    [20]
    周健,郑玉岑,陈伟,等.携带神经的腓动脉穿支皮瓣修复腕部电烧伤后期神经缺损的临床效果[J]. 中华烧伤与创面修复杂志, 2024, 40(9): 835-841. DOI: 10.3760/cma.j.cn501225-20240520-00187.
    [21]
    YangX,FangZ,LiuM,et al.Reconstruction of deep burn wounds around the ankle with free fascia flaps transfer and split-thickness skin graft[J].J Burn Care Res,2019,40(6):763-768.DOI: 10.1093/jbcr/irz078.
    [22]
    YuJ,LuoZ,WuP,et al.Novel design of the chimeric deep inferior epigastric artery perforator flap that provides for three-dimensional reconstruction of composite tissue defects of the heel in children[J].Orthop Surg,2021,13(1):216-224.DOI: 10.1111/os.12887.
    [23]
    葛成伟,蒋国栋,程俊楠,等. 以旋股外侧动脉斜支为蒂并携带阔筋膜的股前外侧穿支皮瓣修复手足毁损性创面并重建功能的效果[J]. 中华烧伤与创面修复杂志, 2024, 40(9): 842-848. DOI: 10.3760/cma.j.cn501225-20240508-00163.
    [24]
    ChungCY,ScaleaTM.Damage control surgery: old concepts and new indications[J].Curr Opin Crit Care,2023,29(6):666-673.DOI: 10.1097/MCC.0000000000001097.
    [25]
    ShiY,SuY,YangX,et al.Computed tomography angiography-guided precise flap surgery: a new strategy for flap selection, mapping and harvesting[J/OL].Burns Trauma,2024,12:tkae032[2024-08-07].https://pubmed.ncbi.nlm.nih.gov/38957663/.DOI: 10.1093/burnst/tkae032.
    [26]
    SmithI,ShekouhiR,MardourianM,et al.Thin profunda artery perforator flap for hand and upper extremity coverage[J].Hand Clin,2024,40(2):189-198.DOI: 10.1016/j.hcl.2023.10.002.
    [27]
    DongKX,ZhouY,ChengYY,et al.Clinical application of digital technology in the use of anterolateral thigh lobulated perforator flaps to repair complex soft tissue defects of the limbs[J/OL].Burns Trauma,2024,12:tkae011[2024-08-07].https://pubmed.ncbi.nlm.nih.gov/38737342/.DOI: 10.1093/burnst/tkae011.
    [28]
    苏以林,徐琳峰,王钢.严重肢体损伤截肢与保肢三种评分方法比较[J].中华创伤杂志,2011,27(1):38-40.DOI: 10.3760/cma.j.issn.1001-8050.2011.01.013.
    [29]
    GarciaMF,GomesRT,PugliesiEC,et al.Comparison between Injury Severity Score (ISS) and New Injury Severity Score (NISS) in predicting mortality of thoracic trauma in a tertiary hospital[J].Rev Col Bras Cir,2024,51:e20243652.DOI: 10.1590/0100-6991e-20243652-en.
    [30]
    BolouraniS,ThompsonD,SiskindS,et al.Cleaning up the MESS: can machine learning be used to predict lower extremity amputation after trauma-associated arterial injury?[J].J Am Coll Surg,2021,232(1):102-113.e4.DOI: 10.1016/j.jamcollsurg.2020.09.014.
    [31]
    PerkinsZB,YetB,SharrockA,et al.Predicting the outcome of limb revascularization in patients with lower-extremity arterial trauma: development and external validation of a supervised machine-learning algorithm to support surgical decisions[J].Ann Surg,2020,272(4):564-572.DOI: 10.1097/SLA.0000000000004132.
    [32]
    沈余明,代强.毁损性电烧伤患者的功能重建与康复策略探讨[J].中华烧伤与创面修复杂志,2023,39(8):713-717.DOI: 10.3760/cma.j.cn501225-20230506-00158.
    [33]
    YonedaH,TakedaS,SaekiM,et al.Utility of severity scoring systems for mangled upper limb salvage: a systematic review and meta-analysis[J].Injury,2024,55(4):111447.DOI: 10.1016/j.injury.2024.111447.
    [34]
    WangZ,ZhuL,KouW,et al.Replantation of cryopreserved fingers: an "organ banking" breakthrough[J].Plast Reconstr Surg,2019,144(3):679-683.DOI: 10.1097/PRS.0000000000005979.
    [35]
    WangJ,LinJ,PeiY,et al.Cryopreservation and transplantation of amputated finger[J].Cryobiology,2020,92:235-240.DOI: 10.1016/j.cryobiol.2020.01.017.
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