背景:环截留是一种可能导致严重后果的医疗状况,包括神经损伤,缺血,和即将发生的坏死。这种情况通常需要手术干预以防止诸如截肢之类的并发症。
方法:我们报告一例49岁男性,右侧小指因钢环卡入而即将坏死。患者出现严重水肿,感染的迹象,脉搏血氧饱和度检测不到手指饱和。
结论:中国前臂远端皮瓣(CFA)用于软组织覆盖,具有可靠的血管化和椎弓根旋转长的优点。CFA皮瓣已显示可有效恢复远端组织的灌注并促进早期伤口闭合。
结论:在这种情况下,使用CFA可产生可行的皮瓣和良好的手指功能,证明了其在处理环截留引起的即将发生的坏死方面的有效性。
BACKGROUND: Ring entrapment is a medical condition that can lead to severe consequences, including nerve damage, ischemia, and impending necrosis. The condition often necessitates surgical intervention to prevent complications such as amputation.
METHODS: We report a
case of a 49-year-old male with impending necrosis of the right little finger due to steel ring entrapment. The patient presented with severe edema, signs of infection, and undetected finger saturation on pulse oximetry.
CONCLUSIONS: The Distally Based Chinese Forearm Flap (CFA) was used for soft tissue coverage, which has advantages like reliable vascularization and long pedicle rotation. The CFA flap has shown to be effective in restoring perfusion to the distal tissue and facilitating early wound closure.
CONCLUSIONS: The use of CFA in this
case resulted in a viable flap and good finger function, demonstrating its effectiveness in managing impending necrosis due to ring entrapment.