FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4288731641> ?p ?o ?g. }

• W4288731641 endingPage "682" @default.
• W4288731641 startingPage "677" @default.
• W4288731641 abstract "Objective: To explore the clinical effects of free hallux-nail flap combined with the second toe composite tissue flap in the reconstruction of damaged thumb after electrical burns. Methods: A retrospective observational study was conducted. From May 2018 to April 2021, 12 male patients with thumb destructive defects caused by electrical burns who met the inclusion criteria were admitted to Zhengzhou First People's Hospital, aged 27 to 58 years, including 10 cases with degree Ⅲ thumb defect and 2 cases with degree Ⅳ thumb defect after thorough debridement. The thumb was reconstructed with free hallux-nail flap combined with composite tissue flap of the second phalangeal bone, joint, and tendon with skin island. The donor site of hallux-nail flap was covered with artificial dermis in the first stage and performed with continuous vacuum sealing drainage, and covered with medium-thickness skin graft from the groin site in the second stage. The donor site in the second toe was filled and fixed with iliac bone strips. The survival of reconstructed thumb was observed 1 week after the reconstruction surgery, the survival of skin graft in the donor site of hallux-nail flap was observed 2 weeks after skin grafting, and the callus formation of the reconstructed thumb phalanx and the second toe of the donor foot was observed by X-ray 6 weeks after the reconstruction surgery. During the follow-up, the shape of reconstructed thumb was observed and the sensory function was evaluated; the function of reconstructed thumb was evaluated with trial standard for the evaluation of the functions of the upper limbs of the Hand Surgery Society of the Chinese Medical Association; whether the interphalangeal joints of the hallux and the second toe were stiff, the scar hyperplasia of the foot donor site, and whether the walking and standing functions of the donor feet were limited were observed. Results: One week after the reconstruction surgery, all the reconstructed thumbs of the patients survived. Two weeks after skin grafting, the skin grafts in the donor site of hallux-nail flap of 11 patients survived, while the skin graft in the donor site of hallux-nail flap of 1 patient was partially necrotic, which was healed completely after 10 days' dressing change. Six weeks after the reconstruction surgery, callus formation was observed in the reconstructed thumb and the second toe of the donor foot of 10 patients, the Kirschner wires were removed; while callus formation of the reconstructed thumb was poor in 2 patients, and the Kirschner wires were removed after 2 weeks of delay. During the follow-up of 6 to 24 months, the shape of reconstructed thumb was similar to that of the healthy thumb, the discrimination distance between the two points of the reconstructed thumb was 7 to 11 mm, and the functional evaluation results were excellent in 4 cases, good in 6 cases, and fair in 2 cases. The interphalangeal joints of the hallux and the second toe of the donor foot were stiff, mild scar hyperplasia was left in the donor site of foot, and the standing and walking functions of the donor foot were not significantly limited. Conclusions: The application of free hallux-nail flap combined with the second toe composite tissue flap in the reconstruction of damaged thumb after electrical burns adopts the concept of reconstruction instead of repair to close the wound. It can restore the shape and function of the damaged thumb without causing great damage to the donor foot.目的： 探讨游离（足母）甲皮瓣联合第2趾复合组织瓣用于电烧伤后毁损性拇指再造的临床效果。 方法： 采用回顾性观察性研究方法。2018年5月—2021年4月，郑州市第一人民医院收治了12例符合入选标准的电烧伤致拇指毁损男性患者，年龄27~58岁，彻底清创后拇指缺损分度为Ⅲ度者10例、Ⅳ度者2例。采用游离（足母）甲皮瓣联合携带皮岛的第2趾趾骨、关节、肌腱等复合组织瓣再造拇指，（足母）甲皮瓣供区Ⅰ期覆盖人工真皮并行持续负压封闭引流、Ⅱ期移植腹股沟区中厚皮片覆盖，第2趾供区应用髂骨条填塞固定。再造术后1周观察再造拇指成活情况，皮片移植术后2周观察（足母）甲皮瓣供区皮片成活情况，再造术后6周复查X线观察再造拇指指骨及供足第2趾趾骨骨痂形成情况。随访时观察再造拇指外形，评估感觉功能；按照中华医学会手外科学会上肢部分功能评定试用标准评定再造拇指功能；观察供足（足母）趾及第2趾的趾间关节是否僵硬、足部供区瘢痕增生情况及供足站立、行走功能是否受限。 结果： 再造术后1周，患者再造拇指均成活。皮片移植术后2周，11例患者（足母）甲皮瓣供区皮片全部成活；1例患者（足母）甲皮瓣供区皮片部分坏死，换药10 d后创面完全愈合。再造术后6周，10例患者再造拇指指骨及供足第2趾趾骨骨痂形成，拔除其克氏针；2例患者再造拇指指骨骨痂形成欠佳，延迟2周拔除其克氏针。随访6~24个月，患者再造拇指外形与健侧拇指接近，指腹两点辨别觉距离为7~11 mm，功能评定：优4例、良6例、可2例；供足（足母）趾及第2趾的趾间关节僵硬，足部供区均遗留轻度瘢痕增生，供足站立及行走功能均未明显受限。 结论： 游离（足母）甲皮瓣联合第2趾复合组织瓣可用于电烧伤后毁损性拇指再造，该方法应用重建代替修复的理念封闭创面，可恢复毁损拇指的外形及功能，且未对供足造成较大的损伤。." @default.
• W4288731641 created "2022-07-30" @default.
• W4288731641 creator A5000208406 @default.
• W4288731641 creator A5002626146 @default.
• W4288731641 creator A5026717499 @default.
• W4288731641 creator A5039302686 @default.
• W4288731641 creator A5044385265 @default.
• W4288731641 creator A5055855301 @default.
• W4288731641 creator A5060723360 @default.
• W4288731641 creator A5091872172 @default.
• W4288731641 date "2022-07-20" @default.
• W4288731641 modified "2023-10-18" @default.
• W4288731641 title "[Clinical effects of free hallux-nail flap combined with the second toe composite tissue flap in the reconstruction of damaged thumb after electrical burns]." @default.
• W4288731641 doi "https://doi.org/10.3760/cma.j.cn501120-20210621-00222" @default.
• W4288731641 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35899335" @default.
• W4288731641 hasPublicationYear "2022" @default.
• W4288731641 type Work @default.
• W4288731641 citedByCount "0" @default.
• W4288731641 crossrefType "journal-article" @default.
• W4288731641 hasAuthorship W4288731641A5000208406 @default.
• W4288731641 hasAuthorship W4288731641A5002626146 @default.
• W4288731641 hasAuthorship W4288731641A5026717499 @default.
• W4288731641 hasAuthorship W4288731641A5039302686 @default.
• W4288731641 hasAuthorship W4288731641A5044385265 @default.
• W4288731641 hasAuthorship W4288731641A5055855301 @default.
• W4288731641 hasAuthorship W4288731641A5060723360 @default.
• W4288731641 hasAuthorship W4288731641A5091872172 @default.
• W4288731641 hasConcept C139542699 @default.
• W4288731641 hasConcept C141071460 @default.
• W4288731641 hasConcept C191897082 @default.
• W4288731641 hasConcept C192562407 @default.
• W4288731641 hasConcept C2776204877 @default.
• W4288731641 hasConcept C2776881184 @default.
• W4288731641 hasConcept C2777852167 @default.
• W4288731641 hasConcept C68312169 @default.
• W4288731641 hasConcept C71924100 @default.
• W4288731641 hasConceptScore W4288731641C139542699 @default.
• W4288731641 hasConceptScore W4288731641C141071460 @default.
• W4288731641 hasConceptScore W4288731641C191897082 @default.
• W4288731641 hasConceptScore W4288731641C192562407 @default.
• W4288731641 hasConceptScore W4288731641C2776204877 @default.
• W4288731641 hasConceptScore W4288731641C2776881184 @default.
• W4288731641 hasConceptScore W4288731641C2777852167 @default.
• W4288731641 hasConceptScore W4288731641C68312169 @default.
• W4288731641 hasConceptScore W4288731641C71924100 @default.
• W4288731641 hasIssue "7" @default.
• W4288731641 hasLocation W42887316411 @default.
• W4288731641 hasOpenAccess W4288731641 @default.
• W4288731641 hasPrimaryLocation W42887316411 @default.
• W4288731641 hasRelatedWork W11881324 @default.
• W4288731641 hasRelatedWork W13720414 @default.
• W4288731641 hasRelatedWork W14539353 @default.
• W4288731641 hasRelatedWork W17896641 @default.
• W4288731641 hasRelatedWork W21550426 @default.
• W4288731641 hasRelatedWork W3302101 @default.
• W4288731641 hasRelatedWork W3653893 @default.
• W4288731641 hasRelatedWork W4025256 @default.
• W4288731641 hasRelatedWork W6826334 @default.
• W4288731641 hasRelatedWork W8046914 @default.
• W4288731641 hasVolume "38" @default.
• W4288731641 isParatext "false" @default.
• W4288731641 isRetracted "false" @default.
• W4288731641 workType "article" @default.