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find Keyword "足" 377 results
  • 小腿内侧神经血管蒂皮瓣修复足部软组织缺损

    Release date:2016-09-01 09:25 Export PDF Favorites Scan
  • 足踝部皮肤软组织缺损的修复

    【摘 要】 目的 总结足踝部皮肤软组织缺损修复方法及疗效。 方法 2005 年8 月- 2008 年8 月,收治46 例足踝部皮肤软组织缺损患者。男40 例,女6 例;年龄12 ~ 68 岁,平均35 岁。交通事故伤31 例,机器碾压伤6 例,医源性损伤2 例,电击伤1 例,糖尿病足溃疡6 例。缺损范围4 cm × 2 cm ~ 27 cm × 16 cm。病程4 h ~ 2 年。采用股前外侧游离皮瓣12 例,腓肠神经营养血管皮瓣25 例,胫后动脉逆行皮瓣1 例,隐神经皮瓣2 例,腓动脉终末穿支皮瓣2 例,交腿皮瓣1 例,足底内侧皮瓣2 例,跖背皮瓣1 例,皮瓣切取范围4 cm × 3 cm ~ 28 cm × 18 cm;供区直接缝合或中厚皮片游离移植修复。 结果 术后46 例患者均获随访,随访时间6 个月~ 3 年,平均11 个月。术后10 d 2 例腓肠神经营养血管皮瓣发生远端部分坏死;其余皮瓣均成活,创面Ⅰ期愈合。供区植皮均成活,无明显挛缩;切口Ⅰ期愈合。术后6 个月,1 例采用腓肠神经营养血管皮瓣修复的足底创面发生小面积溃疡,经对症处理后愈合;其余患者皮瓣质地、色泽正常。患者可负重行走,步态正常。 结论 合理采用局部带蒂皮瓣或游离皮瓣修复足踝部皮肤缺损,可明显缩短病程,达到保肢保足目 的。

    Release date:2016-08-31 04:22 Export PDF Favorites Scan
  • 糖尿病足伤的外科治疗

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  • 足部滑膜软骨瘤一例

    Release date:2021-07-29 05:02 Export PDF Favorites Scan
  • CLINICAL APPLICATION OF RETROGRADE ISLAND FLAP CARRYING PLANTAR METATARSAL ARTERIES AS PEDICLE

    The skin and soft tissue defects or ulceration of the wight-bearing part of the sole was difficult to repair with medial plantar island flap, but would be treated with retrograde island flap carrying plantar metatarsal arteries as pedicle. Ten flaps were applied in 9 patients. They had either indolent ulcer or skin defect secondary to excision of painful corn or callosities of the front part of the sole. The flaps were 3 cm to 5 cm long and 3 cm to 4 cm wide, and they all survived following retrograde transfer. The patients were followed up for 1 to 10 years. It was found that the patients could bear weight on the operated foot and could walk without pain or lameness. The flaps were resistant to abrasion from long-time walking. It was concluded that this kind of flap was best suitable to repair the ulcers and defects over the front part of the sole despite there were some minor shortcomings such as the size of the flaps available was small and the donor site required split skin graft for coverage.

    Release date:2016-09-01 11:08 Export PDF Favorites Scan
  • RECONSTRUCTION OF HEEL BY REVERSED ISLAND FIBULAR MUSCULOCUTANEOUS FLAP

    OBJECTIVE: To explore the anatomical basis of blood supply and heel reconstruction by reversed island fibular musculocutaneous flap. METHODS: The blood supply of fibular musculocutaneous flap and the biomechanical characteristics of heel were studied by anatomical examination. One case with right heel full defect because of explosion injury was repaired by transfer of reversed island fibular vessels. The fibular flap was 14 cm in length with part of peroneus muscle and long flexor muscle of great toe. RESULTS: The lower part of fibular artery had plentiful anastomosis with anterior tibial artery and posterior tibial artery, which could provide ideal reversed blood supply. The rotatory point of vessel pedicle could be chosen according to the need of operation. The lowest site might be above 6 cm to lateral malleolus, and the vessel pedicle was 20 cm in length. The morphological feature of the reversed island fibular musculocutaneous flap was suitable to the biomechanical character of heel. The patient achieved satisfactory clinical result, the musculocutaneous flap survived well for 10 months of follow-up. CONCLUSION: The reversed island fibular musculocutaneous flap provide a new method for repairing the severe heel defect, especially in full defect of calcaneus and cuboid bone.

    Release date:2016-09-01 10:21 Export PDF Favorites Scan
  • RESEARCH PROGRESS OF STEM CELLS TRANSPLANTATION FOR TREATING DIABETIC FOOT

    Objective To introduce the basic research and cl inical appl ication of stem cells transplantation for treating diabetic foot. Methods The recent original articles about the stem cells transplantation for treating diabetic foot were extensively reviewed. Results Transplanted different stem cells in diabetic foot could enhanced ulceration heal ing in certain conditions, increase neovascularization and avoid amputation. Conclusion Stem cells transplantation for treating diabeticfoot may be a future approach.

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
  • 康复新液治疗浸渍糜烂型足癣的临床观察

    【摘要】 目的 观察康复新液治疗浸渍糜烂型足癣的临床疗效。 方法 2008年6月-2009年9月将72例患者随机分为治疗组和对照组,治疗组局部外用康复新液,对照组外用1/5 000高锰酸钾溶液,用药3、5、7 d后观察判定临床疗效。 结果 治疗组平均起效时间为2.4 d,对照组平均起效时间为3.5 d;治疗组治愈率为86.49%,对照组治愈率为62.86%;治疗组有效率为94.6%,对照组有效率为74.29%;两组比较差异有统计学意义(χ2=5.73,Plt;0.05)。 结论 康复新液治疗浸渍糜烂型足癣有较好的临床疗效。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • TREATMENT OF SPOKE HEEL INJURIES IN CHILDREN

    Objective To evaluate the characteristics, classification, treatment methods, and cl inical outcomes of the spoke heel injuries in children. Methods From June 2001 to June 2008, 289 children with bicycle or motorcycle spoke heel injuries were treated, including 179 males and 110 females aged 2-12 years old (average 3.9 years old). There were 179 cases of skin contusion and laceration (type I), 83 cases of skin and soft tissue defect with Achilles tendon exposure (type II), and 27 cases of wide skin and soft tissue defect with the Achilles tendon defect and rupture (type III). The defect size of the skin or the soft tissues ranged from 3 cm × 2 cm to 11 cm × 7 cm in type II and type III injury. The time between injury and hospital admission was 1-53 days (average 14.5 days). Child patients with type I injury were managed with dressing or suturing after debridement. For the child patients with type II injury, the wound was repaired with the regional fascia flap in 53 cases, the reverse sural neurocutaneous vascular flap in 19 cases, the reverse saphenous neurocutaneous vascular flap in 9 cases, and the lateral supramalleolar flap in 2 cases. For the child patients with type III injury, 6 cases underwent primary repair of the Achilles tendon followed by the transposition of the reverse sural neurocutaneous vascular flap, 3 cases received primary repair of the wound with the reverse sural neurocutaneous vascular flap and secondary reconstruction of the Achilles tendon with the upturned fascia strip or the ipsilateral il iotibial tract transplant, and 18 cases underwent primary repair of the wound and the Achilles tendon with the sl iding bi-pedicled gastrocnemius musculocutaneous flap. The flap size ranged from 4 cm × 2 cm to 30 cm × 12 cm. All the donor sites were closed bypartial suture and spl it-thickness skins graft. The lower l imbs were immobil ized with plaster spl ints after operation. Results All the flaps survived except for 1 case of type II suffering from distal flap venous crisis 3 days after operation and 6 cases of type III suffering from distal flap necrosis 3-5 days after operation. All those flaps survived after symptomatic treatment. All the skin grafts at the donor site survived uneventfully. All the wounds healed by first intention. All child patients were followed up for 15-820 days (average 42 days). Child patients with type I and type II injury had a full recovery of ankle functions. While 25 cases of type III injury had ankle dorsal extension degree loss (10-30°) and unilateral plantar flexion strength decrease 3 months after operationwithout influence on walking, and 2 cases recovered well. Conclusion Spoke heel injury in children has special mec hanisms of injury, and the choice of proper treatment method should be based on the types of injury.

    Release date:2016-09-01 09:08 Export PDF Favorites Scan
  • REPAIR OF SOFT TISSUE DEFECT OF HEEL WITH MYOCUTANEOUS FLAP OF FLEXOR DIGITORUM BREVIS

    OBJECTIVE To investigate the repairing method of soft tissue defect of heel, pedicled island myocutaneous flap of flexor digitorum brevis was designed. METHODS From 1984 to 1997, 26 cases with soft tissue defect of heel were adopted in the clinical trial. Among them, the were 18 males, 8 females and the age ranged from 15 to 60 years old. The area of wound ranged from 2.5 cm x 1.5 cm to 8.0 cm x 6.0 cm. RESULTS After operation, all of the flaps survived. They were followed up for 9 to 72 months. All of the flaps had primary healing except in one there was infection of peripheral of the flap. The contour of heel was satisfactory the sensation of flap was good and the weight-bearing function was also successful. CONCLUSION It was concluded that the myocutaneous flap of flexor digitorum brevis could be used to repair the soft tissue defect of heel because of its nearby position, hidden location, good recovery of skin sensation and weight-bearing function, Besides, the procedure of this operation was simple and the anti-inflammatory potential of the flap was high. However, Because of the limited donor area, the pre-operative design was important.

    Release date:2016-09-01 11:04 Export PDF Favorites Scan
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