PDF(Pubmed)
Abstract：
UNASSIGNED: Electrical injuries from high-voltage power lines are unique forms of trauma that can create challenging wounds for reconstructive surgeons. Our patients, a man in his late thirties (Patient 1) and a man in his early twenties (Patient 2), both sustained upper extremity injuries after contact with a high-voltage line.
UNASSIGNED: Despite minimal superficial damage, both patients required fasciotomies and debridement of the volar forearm, revealing segmental defects in most digital tendons as well as the distal median nerve. Free fasciocutaneous anterolateral thigh (ALT) flaps were harvested to ensure adequate wound coverage. Additionally, fascia lata grafts were taken from the free flap donor site and rolled into tubes to transfer available flexor digitorum superficialis proximal tendon stumps to the distal stumps of flexor digitorum profundus. The rolls were also used to bridge segmental tendon defects in flexor pollicis longus, while cadaveric nerve allografts were used to bridge the median nerve defects.
UNASSIGNED: Nine months postoperatively, Patient 1 had premorbid function with activities of daily living (ADLs), and Patient 2 required only minimal assistance with instrumental ADLs. Within a year following reconstruction, Patient 1 mostly regained range of motion in his digits with some rigidity, and Patient 2 regained full range of motion in his digits with minimal rigidity.
UNASSIGNED: These cases have demonstrated that the use of an ALT free flap combined with rolled fascia lata graft tubes may be an effective choice for reconstruction and functional restoration in cases of severe high-voltage electrical trauma.
UNASSIGNED: Despite minimal superficial damage, both patients required fasciotomies and debridement of the volar forearm, revealing segmental defects in most digital tendons as well as the distal median nerve. Free fasciocutaneous anterolateral thigh (ALT) flaps were harvested to ensure adequate wound coverage. Additionally, fascia lata grafts were taken from the free flap donor site and rolled into tubes to transfer available flexor digitorum superficialis proximal tendon stumps to the distal stumps of flexor digitorum profundus. The rolls were also used to bridge segmental tendon defects in flexor pollicis longus, while cadaveric nerve allografts were used to bridge the median nerve defects.
UNASSIGNED: Nine months postoperatively, Patient 1 had premorbid function with activities of daily living (ADLs), and Patient 2 required only minimal assistance with instrumental ADLs. Within a year following reconstruction, Patient 1 mostly regained range of motion in his digits with some rigidity, and Patient 2 regained full range of motion in his digits with minimal rigidity.
UNASSIGNED: These cases have demonstrated that the use of an ALT free flap combined with rolled fascia lata graft tubes may be an effective choice for reconstruction and functional restoration in cases of severe high-voltage electrical trauma.
摘要：
UNASSIGNED：高压电力线造成的电气伤害是一种独特的创伤形式，可以为重建外科医生造成具有挑战性的伤口。我们的病人,一个三十多岁的男人（病人1）和一个二十出头的男人（病人2），两人都在接触高压线后上肢受伤。
未经批准：尽管表面损伤很小，两名患者都需要筋膜切开术和前臂掌侧清创术，揭示了大多数数字肌腱以及远端正中神经的节段性缺陷。收获游离的筋膜皮肤股前外侧（ALT）皮瓣，以确保足够的伤口覆盖。此外,从游离皮瓣供体部位取出阔筋膜移植物，并将其滚动到管中，以将可用的指超屈肌近端肌腱残端转移到指超屈肌远端残端。该辊还用于桥接长屈肌的节段性肌腱缺损，而尸体同种异体神经移植用于桥接正中神经缺损。
未经批准：术后9个月，患者1具有病前功能，具有日常生活活动（ADLs），和患者2只需要最少的辅助工具ADL。重建后的一年内，患者1主要恢复了手指的活动范围，并有些僵硬，患者2以最小的刚度恢复了手指的全部运动范围。
UNASSIGNED：这些病例证明，在严重的高压电外伤病例中，使用ALT游离皮瓣结合滚动的阔筋膜移植管可能是重建和功能恢复的有效选择。
未经批准：尽管表面损伤很小，
未经批准：术后9个月，
UNASSIGNED：这些病例证明，在严重的高压电外伤病例中，使用ALT游离皮瓣结合滚动的阔筋膜移植管可能是重建和功能恢复的有效选择。
