Email Alerts
RSS
Volume 37 Issue 9
Sep.  2021
Turn off MathJax
Article Contents
Abstract
References
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2021  >  37(9): 875-879
Zhang H,Guan H,Wang YH,et al.Role and mechanism of ferroptosis in combined burn-blast injury with acute lung injury in rats[J].Chin J Burns Wounds,2024,40(11):1034-1042.DOI: 10.3760/cma.j.cn501225-20240528-00199.
Citation: Yang T,Chen J,Cheng BB,et al.Clinical effect of perforator flap combined with toe transplantation for repairing thumb damage with soft tissue defect of hand[J].Chin J Burns,2021,37(9):875-879.DOI: 10.3760/cma.j.cn501120-20200727-00360.
shu

Clinical effect of perforator flap combined with toe transplantation for repairing thumb damage with soft tissue defect of hand

doi: 10.3760/cma.j.cn501120-20200727-00360

  • Department of Trauma and Microsurgery, the 988th Hospital of Joint Logistic Support Force of PLA, Zhengzhou 450042, China

Funds:

Joint Construction Project of Henan Medical Science and Technology Research Plan LHGJ20200793

More Information
  • Corresponding author: Li Shimin, Email: lsm8123@163.com
  • Received Date: 2020-07-27
    Abstract
  •   Objective  To investigate the clinical effect of perforator flap combined with toe transplantation for repairing thumb damage with soft tissue defect of hand.  Methods  The retrospective observational study method was used. From May 2014 to June 2019, 8 patients with thumb damage and soft tissue defect of hand were admitted to the 988th Hospital of Joint Logistic Support Force of PLA, including 6 males and 2 females, aged from 25 to 46 years. Among them, thumb damage in 3 cases were degree Ⅱ, 1 case was degree Ⅲ, and 4 cases were degree Ⅳ. All thumb damage were repaired with perforator flap combined with toe transplantation. The skin and soft tissue defects of hand were repaired by free anterolateral thigh perforator flap in 6 cases and free deep inferior epigastric perforator flap in 2 cases. The thumb damage of degree Ⅱ was repaired by the first toe transplantation combined with perforator flap, and thumb damage of degree Ⅲ or Ⅳ was repaired by the second toe transplantation combined with perforator flap. The survival and blood supply of reconstructed thumbs and flaps, and wound healing of donor sites were observed after surgery. All the patients were followed up for 10 to 18 months, the appearance of the reconstructed thumbs, sensory recovery, and foot walking function were observed. At the final follow-up, the functional reconstruction of the thumb was evaluated.  Results  All the blood supply and survival of the reconstructed thumbs and flaps were good, and all the wounds of donor sites healed well. During the follow-up, the appearances of the reconstructed thumb and flap were good, the sensation of pain and touch of the finger pulp recovered well, and no significant impact on foot walking function was observed. At the final follow-up, the function of reconstructed thumb was evaluated as excellent in 4 cases, good in 3 cases, and fair in 1 case.  Conclusions  The repair method of perforator flap combined with toe transplantation technique can complete the targeted repair of thumb damage with skin and soft tissue defect of hand in one stage, minimizing the foot donor site injury and shortening the course of disease and early rehabilitation, which is one of the ideal methods for the treatment of complex thumb damage.

     

    • FullText(HTML)
    • References(17)
  • [1]
    魏立友,王国强.示指背侧皮神经营养血管岛状皮瓣联合中指尺侧指神经营养血管岛状皮瓣急诊修复儿童拇指脱套伤的效果[J].中华烧伤杂志,2017,33(11):702-704. DOI: 10.3760/cma.j.issn.1009-2587.2017.11.009.
    [2]
    周健,魏在荣,孙广峰, 等.游离第3足趾胫侧微型皮瓣修复手指末节指腹皮肤软组织缺损[J].中华烧伤杂志,2019,35(3):205-208. DOI: 10.3760/cma.j.issn.1009-2587.2019.03.008.
    [3]
    焦涛,任孝燕,孙荣涛, 等.第1足趾甲瓣游离移植修复手部拇指背侧热压伤十例[J].中华烧伤杂志,2015,31(6):456-457. DOI: 10.3760/cma.j.issn.1009-2587.2015.06.017.
    [4]
    刘刚义,程永冲,朱修文, 等.拇指全形再造的临床体会[J].中华显微外科杂志,2013,36(3):241-244. DOI: 10.3760/cma.j.issn.1001-2036.2013.03.009.
    [5]
    李雷,巨积辉,崔龙杰, 等.拇趾甲皮瓣与第2足趾侧方皮瓣同蒂修复电烧伤后拇指缺如[J].中华烧伤杂志,2015,31(2):137-139. DOI: 10.3760/cma.j.issn.1009-2587.2015.02.015.
    [6]
    韩军涛,王洪涛,谢松涛, 等.供瓣区选择与修复策略的初步探讨[J].中华烧伤杂志,2020,36(2):85-90. DOI: 10.3760/cma.j.issn.1009-2587.2020.02.002.
    [7]
    侯致典,王增涛,钟世镇. 第一跖背动脉Gilbert分型的再理解[J]. 中华显微外科杂志,2013,36(3):209-210. DOI: 10.3760/cma.j.issn.1001-2036.2013.03.001.
    [8]
    潘达德,顾玉东,侍德, 等.中华医学会手外科学会上肢部分功能评定试用标准[J].中华手外科杂志,2000,16(3):130-135. DOI: 10.3760/cma.j.issn.1005-054X.2000.03.003.
    [9]
    何如祥,雷林革,师富贵, 等.踇甲皮瓣与第二足趾组合在拇指再造术中的应用[J].中华手外科杂志,2018,34(3):235-236.DOI: 10.3760/cma.j.issn.1005-054X.2018.03.032.
    [10]
    金光哲,王凯,熊胜, 等.伴有虎口区皮肤缺损的拇指缺损再造[J].中华手外科杂志,2016,32(5):334-335. DOI: 10.3760/cma.j.issn.1005-054X.2016.05.005.
    [11]
    崔满意,王培吉.急诊第2足趾联合足部皮瓣修复拇指缺如伴手部软组织缺损六例[J].中华烧伤杂志,2017,33(2):91-92. DOI: 10.3760/cma.j.issn.1009-2587.2017.02.007.
    [12]
    曹胜军,王凌峰,巴特, 等.足趾复合组织瓣游离移植再造电烧伤致坏死拇指四例[J].中华烧伤杂志,2019,35(10):761-763. DOI: 10.3760/cma.j.issn.1009-2587.2019.10.011
    [13]
    黄平,庄振华,王运增, 等.第2足趾改形联合足背皮瓣修复手部软组织缺损伴拇指缺如12例[J].中华烧伤杂志,2015,31(2):143-144. DOI: 10.3760/cma.j.issn.1009-2587.2015.02.017.
    [14]
    黄耀鹏,王科杰,丁文全, 等.拇指再造术后游离穿支皮瓣修复足部供区的疗效[J].中华创伤杂志,2017,33(2):134-136. DOI: 10.3760/cma.j.issn.1001-8050.2017.02.009.
    [15]
    熊胜,巨积辉,金光哲, 等.游离同侧多块小腿腓浅动脉穿支皮瓣修复手部多发创面效果观察[J].中华烧伤杂志,2019,35(9):655-660. DOI: 10.3760/cma.j.issn.1009-2587.2019.09.003.
    [16]
    唐举玉,汪华侨,HallockGG, 等.关注皮瓣供区问题—减少皮瓣供区损害专家共识[J].中华显微外科杂志,2018,41(1):3-5. DOI: 10.3760/cma.j.issn.1001-2036.2018.01.001.
    [17]
    吴建龙,谢庆平,唐林峰, 等.急诊Flow-through带关节的第二足趾复合组织瓣移植修复手指复合组织损伤[J].中华手外科杂志,2018,34(5):322-325. DOI: 10.3760/cma.j.issn.1005-054X.2018.05.002.
    • Relative Articles

  • Relative Articles

    [1]Guo Guanghua, Huang Shengyu. Recognition of inhalation injuries[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(11): 1001-1006. doi: 10.3760/cma.j.cn501225-20240616-00234
    [2]Yu Jia'ao, Zhang Xiuhang. Strategies for the diagnosis and treatment of inhalation injuries in children[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(11): 1007-1015. doi: 10.3760/cma.j.cn501225-20240816-00310
    [3]Zhou Qiyuan, Li Jingyan, Yao Yongming, Tian Yingping. Role of apurinic/apyrimidinic endodeoxyribonuclease 1 in ferroptosis of mouse dendritic cells under simulated sepsis[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(10): 930-939. doi: 10.3760/cma.j.cn501225-20240430-00159
    [4]Jiang Bin, Shen Mingyan, Shen Tao. Nursing of one patient with extremely severe burn-blast combined injury complicated with acute kidney injury caused by dust explosion[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2020, 36(7): 603-605. doi: 10.3760/cma.j.cn501120-20190415-00188
    [5]Liu Wei, Chai Jiake. Influences of ulinastatin on acute lung injury and time phase changes of coagulation parameters in rats with burn-blast combined injuries[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(1): 32-39. doi: 10.3760/cma.j.issn.1009-2587.2018.01.007
    [7]Ning Fanggang, Chang Yang, Qiu Yuxuan, Rong Yanhua, Du Weili, Wang Cheng, Wen Chunquan, . Analysis of clinical characteristics of 443 patients with inhalation injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2014, 30(5): 400-404. doi: 10.3760/cma.j.issn.1009-2587.2014.05.004
    [8]Zhang Yungyang, Qiu Xiaochen, Zhou Guoyong, Liu Zhen, Chang Na, Jia Chiyu. Early effects of ulinastatin by aerosol inhalation on rabbits with lipopolysaccharide-induced acute lung injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2014, 30(3): 203-207. doi: 10.3760/cma.j.issn.1009-2587.2014.03.004
    [9]Wang Yihe, Yang Hongming, Hu Quan, Hou Yusen, Luo Hongmin, Liu Lingying. Effects of sivelestat on acute lung injury in dogs with severe burn-blast combined injury Wang Yihe,[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2014, 30(2): 158-165. doi: 10.3760/cma.j.issn.1009-2587.2014.02.015
    [13]QING Yong, CEN Ying, LIU Xiao-xue, XU Xue-wen, WANG Huai-sheng. Analysis of extubation time and late complications after early tracheotomy in patients with inhalation injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2011, 27(2): 131-134. doi: 10.3760/cma.j.issn.1009-2587.2011.02.016
    [15]TONG Ya-lin, MIAO Hong-cheng, FENG Xiao-yan, YANG Fu-wang, ZHU Jin-hong, GONG Zhen-yu, DENG Jian-jun, JIANG Xiao-chen, ZHU Fu-jun, XIN Hai-ming. The preventive and therapeutic effect of advanced airway management on pulmonary infection in patients with inhalation injury after tracheotomy[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2010, 26(1): 6-9. doi: 10.3760/cma.j.issn.1009-2587.2010.01.003
    [17]ZHU Pei-fang, WANG Zheng-guo. Burn-blast combined injury[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2008, 24(5): 384-386.
    [18]FAN Kun-wu, LI Guo-hui, ZHU Zhi-xiang, DENG Zhi-yun, LI Yue, ZHANG Qing, WEN Gui-lan, WANG Nian-yun, YAN Ji, GUO Guang-hua. Changes in the calcitonin content after inhalation injury in dogs[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2006, 22(4): 301-303.
    • Supplements(0)
    • Cited By
  • Created with Highcharts 5.0.7Amount of accessChart context menuAbstract Views, HTML Views, PDF Downloads StatisticsAbstract ViewsHTML ViewsPDF Downloads2024-052024-062024-072024-082024-092024-102024-112024-122025-012025-022025-032025-040100200300
    Created with Highcharts 5.0.7Chart context menuAccess Class DistributionFULLTEXT: 6.1 %FULLTEXT: 6.1 %META: 90.6 %META: 90.6 %PDF: 3.3 %PDF: 3.3 %FULLTEXTMETAPDF
    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 6.1 %其他: 6.1 %其他: 0.2 %其他: 0.2 %Absecon: 0.2 %Absecon: 0.2 %Boydton: 0.2 %Boydton: 0.2 %China: 0.2 %China: 0.2 %三明: 0.9 %三明: 0.9 %上海: 0.9 %上海: 0.9 %临沂: 0.2 %临沂: 0.2 %丽水: 0.2 %丽水: 0.2 %伊利诺伊州: 0.7 %伊利诺伊州: 0.7 %佛山: 0.2 %佛山: 0.2 %内江: 0.2 %内江: 0.2 %北京: 1.5 %北京: 1.5 %南京: 0.4 %南京: 0.4 %南宁: 0.4 %南宁: 0.4 %南平: 0.4 %南平: 0.4 %南昌: 0.9 %南昌: 0.9 %南通: 0.4 %南通: 0.4 %台州: 0.2 %台州: 0.2 %哥伦布: 0.4 %哥伦布: 0.4 %嘉兴: 3.9 %嘉兴: 3.9 %大连: 2.6 %大连: 2.6 %天津: 0.7 %天津: 0.7 %威海: 0.7 %威海: 0.7 %宁德: 0.4 %宁德: 0.4 %安康: 0.2 %安康: 0.2 %宣城: 0.4 %宣城: 0.4 %宿迁: 5.5 %宿迁: 5.5 %密苏里州: 0.2 %密苏里州: 0.2 %巴音郭楞: 0.2 %巴音郭楞: 0.2 %常德: 0.2 %常德: 0.2 %广州: 0.7 %广州: 0.7 %张家口: 3.7 %张家口: 3.7 %徐州: 0.9 %徐州: 0.9 %德里: 0.4 %德里: 0.4 %成都: 0.2 %成都: 0.2 %扬州: 0.9 %扬州: 0.9 %拉伯克: 0.2 %拉伯克: 0.2 %新乡: 0.2 %新乡: 0.2 %昆明: 0.4 %昆明: 0.4 %朝阳: 0.2 %朝阳: 0.2 %杭州: 2.8 %杭州: 2.8 %果洛: 0.2 %果洛: 0.2 %江门: 0.4 %江门: 0.4 %沈阳: 0.2 %沈阳: 0.2 %济南: 1.1 %济南: 1.1 %海西: 0.7 %海西: 0.7 %淮北: 0.9 %淮北: 0.9 %淮南: 0.4 %淮南: 0.4 %温州: 0.9 %温州: 0.9 %湖州: 1.7 %湖州: 1.7 %漯河: 0.7 %漯河: 0.7 %珠海: 1.1 %珠海: 1.1 %石家庄: 0.7 %石家庄: 0.7 %福州: 3.5 %福州: 3.5 %秦皇岛: 0.2 %秦皇岛: 0.2 %绍兴: 0.7 %绍兴: 0.7 %自贡: 2.0 %自贡: 2.0 %舟山: 4.4 %舟山: 4.4 %芒廷维尤: 12.7 %芒廷维尤: 12.7 %芝加哥: 1.3 %芝加哥: 1.3 %苏州: 1.5 %苏州: 1.5 %荆门: 0.2 %荆门: 0.2 %莆田: 0.2 %莆田: 0.2 %莱芜: 2.4 %莱芜: 2.4 %葫芦岛: 0.2 %葫芦岛: 0.2 %衢州: 0.7 %衢州: 0.7 %西宁: 1.3 %西宁: 1.3 %西安: 2.4 %西安: 2.4 %赫尔辛基: 0.4 %赫尔辛基: 0.4 %遵义: 0.2 %遵义: 0.2 %重庆: 6.8 %重庆: 6.8 %金华: 1.5 %金华: 1.5 %镇江: 2.6 %镇江: 2.6 %长春: 0.4 %长春: 0.4 %长沙: 0.7 %长沙: 0.7 %随州: 0.7 %随州: 0.7 %鞍山: 1.3 %鞍山: 1.3 %鹰潭: 1.1 %鹰潭: 1.1 %黄冈: 0.4 %黄冈: 0.4 %黄山: 0.2 %黄山: 0.2 %黄石: 0.2 %黄石: 0.2 %其他其他AbseconBoydtonChina三明上海临沂丽水伊利诺伊州佛山内江北京南京南宁南平南昌南通台州哥伦布嘉兴大连天津威海宁德安康宣城宿迁密苏里州巴音郭楞常德广州张家口徐州德里成都扬州拉伯克新乡昆明朝阳杭州果洛江门沈阳济南海西淮北淮南温州湖州漯河珠海石家庄福州秦皇岛绍兴自贡舟山芒廷维尤芝加哥苏州荆门莆田莱芜葫芦岛衢州西宁西安赫尔辛基遵义重庆金华镇江长春长沙随州鞍山鹰潭黄冈黄山黄石

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (250) PDF downloads(28) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return