索引源数据

Two clinical cases of the reconstruction of distal phalanges of hand in children by combination of the regional flap and scrap bone and nailbed graft

Dublin Core PKP源数据项目 这个文档的源数据
1. 标题 文档的标题 Two clinical cases of the reconstruction of distal phalanges of hand in children by combination of the regional flap and scrap bone and nailbed graft
2. 创建者 作者姓名,工作单位,国家 Alexander Alexandrov; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Pavel Goncharuk; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Alexander Evdokimov; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Lamiya Idris; Russian National Research Medical University; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Alexander Smirnov; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Ruslan Khagurov; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Nina Samorukova; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
2. 创建者 作者姓名,工作单位,国家 Natalya Alexandrova; Filatov Moscow Children’s Clinical Hospital; 俄罗斯联邦
3. 主题 学科
3. 主题 关键词 fingertip; fingertip injuries in children; fingertip amputation; regional flaps; scrap graft
4. 描述 摘要

BACKGROUND: The hand and its distal phalanges, especially in children, are among areas mostly exposed to trauma while contacting the environment. Injuries causing loss of soft tissue and bone component are both challenging and interesting. This report presents the treatment results of children with soft tissue and bone defects of distal phalanges, in which reconstructions including combination of regional flaps, bone, and nailbed grafts were performed.

CLINICAL CASE: This report presents clinical cases of the surgical treatment of 4- and 6-year-old children with fingertip injuries who underwent reconstructions including the combination of regional flaps, bone, and nailbed grafts. A combination of the scrap graft was performed in the first case with antegrade homodigital island flap and in the second case with thenar flap. The results were assessed 6 and 7 months after surgery.

DISCUSSION: The primary aim of the surgical treatment of children with distal phalangeal defects is coverage of those defects. The restoration of the bone component of the defect is recommended to prevent postoperative deformations of the distal phalanges. Fingertip replantation or microsurgical transplantation of vascularized tissue complexes are technically difficult and require thorough care and monitoring of the child’s condition in the postoperative period as all these measures may fail.

CONCLUSIONS: The possibility to combine the scrap bone and nailbed graft with existing reliable surgical methods open new prospects for the successful treatment of fingertip injuries.

5. 出版商 组织机构,地点 Eco-Vector
6. 合作者 主管
7. 日期 (YYYY-MM-DD) 13.09.2022
8. 类型 现状与流派 同行评议的文章
8. 类型 类型 来源文章
9. 格式 文件格式
10. 识别码 环球资源指标 https://journals.eco-vector.com/turner/article/view/108022
10. 识别码 Digital Object Identifier (DOI) 10.17816/PTORS108022
10. 识别码 Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/PTORS108022-85251
10. 识别码 Digital Object Identifier (DOI) (PDF (Eng)) 10.17816/PTORS108022-87291
11. 期刊/会议标题 ; 卷., 期. (年) Pediatric Traumatology, Orthopaedics and Reconstructive Surgery; 卷 10, 编号 3 (2022)
12. 语言 English=en ru
13. 关系 补充文件 Fig. 1. Boy, 4 years old. Divulsion of the distal part of the nail phalanx of finger II of the right hand: a, soft tissue defect; b, radiographs of finger II of the child’s right hand on hospital admission; c, defect closure using a combination of a graft and a scrap graft; d, view of the finger 7 months after the surgery; e, radiographs of finger II of the right hand 7 months after the surgery (503KB) doi: 10.17816/PTORS108022-75127
Fig. 2. Allen’s classification of defects in the nail phalanges of the fingers (93KB) doi: 10.17816/PTORS108022-75128
Fig. 3. Schematic representation of the nail phalanx reconstruction through a combination of an islet homodigital flap on reverse blood flow and a scrap bone graft and a nail bed of the dissected fragment (63KB) doi: 10.17816/PTORS108022-75129
Fig. 4. A 6-year-old boy with divulsion of the distal nail phalanx of finger II of the left hand: a, transverse tissue defect; b, radiographs of finger II of the left hand; c, view of the finger after stage I; b, radiographs of finger II of the left hand 6 months after stage 2 of surgery; c, view of the finger 6 months after stage 2 of surgery (335KB) doi: 10.17816/PTORS108022-75130
14. 范围 地理位置、年代时期、调查样本(性别、年纪等等)
15. 权力 版权及权限 版权所有 © Alexandrov A., Goncharuk P., Evdokimov A., Idris L., Smirnov A., Khagurov R., Samorukova N., Alexandrova N., 2022
Creative Commons License
此作品已接受知识共享署名 4.0国际许可协议的许可