手前臂复合软组织缺损修复与异体肌腱移植功能重建

手前臂复合软组织缺损修复与异体肌腱移植功能重建 手前臂复合软组织缺损修复与异体肌腱移 植功能重建 !???? JournalofTissueEngineeringandReconstructiveSurgery?sJune?E2006V01?E2No?E3 ???e?l???????M?????e ?????????e???????? ?????????T?????????????????????????????M ???????? Gd????GR?????????????????e?l???????M???????e?E????????GJ????2001??5?l??2005??10?l?s??18?????????? ???e?l???????M?????r???8???h???????(?????????e?M???1???s???8???h???????????V???s???J?????????e?????7???? ???s???????)?M39cmxl2cm?s?J?????????e???V6??GJ?????-?E18?????????d?z?s?????y?????s?J?????????e?????? ?g?s?7?????????e?????s???n???r?7?????????????eGJ???????????(?????????V???s???J?????????e???e?????????e?l ???????M?????f???7?gG!?????y????G!????????G!?7?????????g??????GJ Gd???w??GR???????????M???????J?????????????? Gd?H???n????GRR628Gd???w?a???!GRAGd?????y??GR16739v0364(2006)??039v01569v03 TheRepairandFunctionalReconstructionofCompositeSoftTissueDefectontheHandsandForearmwithFlapand Allo-TendonGA0Junqing,CHENXunwemYANGKefei,HERengrong,CHENHaoyu,HEBin,HUANGZhiqiang?E DepartmentofOrthopedicsandMicrosurgery,FoshanHospitalofChineseMedicine?sGuangzhouUniversityofTradionalChinese Medicine?sFoshan528000,China?E GdAbstractGRObjectiveToexploretherepairandfunctionalreconstructionofcompositesofttissuedefectonthehandand forearm?EMethodsSince2001?E5-2005?E10?s18patientswithcompositesofttissueonthehandandforearmweretreatedby chest9vabdominalpedicleflapinfirststage?sthentendondisplacementplusmulti-allotendonsgraftwereusedtorestorethe functionofhandinsecondstage?EThelargestareaofflapwas39cm??12cm?EThetendonusedinone patientisasmuchas6 tendons?EResultsAllflapssurvivedwithgoodappearance?EInjuredhandhavegoodfunctionafteroperation?EConclusion Chest9v9vabdominalpedicleflapcombinedmulti9v9vallotendonsgrafthavebeenusedforrepairingthedefectofcompositesofttissue onthehandandforearm?EIthasfollowingfeature?Vminimalinjury?sgoodappearance?ESimplemanipulationandgoodfunction?E GdKeywordsGRForearm?1Defectofsofttissue?1Flap?1Allotendon?1Functionreconstruction 2001??5?l??2005??10?l?s?R?????h?9?????? 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JournalofTissueEngineeringandReconstructiveSurgery?sJune?E2006V01?E2No?E3 ?????)?????v???????s?????J?????????e???-???? ?????s???D???????G???????????e???????9GJ ?Z???????M???o?????????-?(???h?????????s ?????Z???????M???o?????g???????s?Z?????????? ?V?????v???E???????E?I???7?????B?p?????????? ???h?V???J?????????????e?E?J???????????E?Z?? ?????y???z?l?s?????E?Z?????M?????????z?lGJ???? ?Z?????M???o?????)???s???Y?f?????M?????????s ?????h???????????J?????????e?z?l?????7?????Z ????GJ?????????????M???Z???p?h?????V?????s???? ?B?p?????????????E?V???J?????????????e?s?J?? ?????????E?????????y???z?l?s?????E?Z?????M?? ???????z?lGJ???a?y?????????????h???????????? ???e?s?????????????h?J??????GJ?J?????????e???Z ?????????????????????????????M???????gGJ ?J?????????e?????????????D?f???h???????e 2??3?F?l?E?????s???????????k?????????????s?k?? ???????????G???E?J?????????e?????????????e?V ?Y?????????k???E?e?V?S???????????s?s?????????k ???????G?????????J???????????????????8GJ???? ?R???J?????????e?E?????????8?s?s??2??3?F?l?H ?? ?7??????????G!???a???????a?????????z?????G?? ???z???s?????Z???a?Z???????????????i???????J ?????????e?????q?V????GJ ???o???w ???????s?????E?s?9?y?b?s???E?(?????????????????8???e?????? ???M??65???E?H?????e?????y???P???st994?s8(2)?V103?E ?????s???????s???(???E?????d?????-?????????e???????????M ???E?H?????e?????y???P???s2000?s14(1)?V52?E ???????s?????s???????s???E???v???????????e?4?????e???????? ???M???E?H?????e?????y???P???s1996?s10(1)?V42?E ???????s?i?????s???????s???E?????e?l?????M?????I???y?????e?E ?H???I???y???P???s2003?s26(1)?V9?E JacksonD?sGroodE?sGolksteinJ?EAcomparisonofpatellartendon autograftandallograftandallograftusedforanteriorcruciate ligamentresontructioniqJhegoatmodl?EAmJSpotsMed?s1993?s 21(2)?V176?E ?9?????s???????s?????8?s???E?????????J?????????e???????v?? ?El|?B?????h?E?H???????P???s1997GJ17(1)?V59?E ?????h?s?9?????s???R???s???E?s???J?????????e?????E???2?z???s 2003?s25(1)?V11?E ?9?????s???R???s?????8?s???E?(?????J?????????e???????v???E?H ?????e?????y???P???s2001?s15(2)?V92?E f?B?[???8?V2006??4?l5??) ?D10??OSAPS???@?????y???)?V ???????? 7? 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