40-222
Traumatismos de partes blandas en la muñeca. Cobertura fasciocutánea
Traumas of soft tissues in wrist. Its fasciocutaneous coverage
E. ELENA SORANDO, L. GARCIA MARTINEZ, JL. ARRANZ LOPEZ, P. BENITO DUQUE, A. DE JUAN HUELVES SERVICIO DE CIRUGÍA PLASTICA. HOSPITAL UNIVERSITARIO DE SALAMANCA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
Métricas
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Resumen (ES)
Traumatic soft tissue loss in wrist usually involves
tendons, vessels and nerves. These injuries need the adequate
reconstructive treatment and the safe coverage which
lets to slide the tendons and it gives a safe protection to neurovascular
structures. The fasciocutaneous flap based in perforator
branches of the ulnar artery brings skin, fat and fascia
enough over the exposed tissues in the dorsal or volar surface
of the wrist.
We report four cases of traumatic lesions in soft tissues of the
wrist, in all of them the fasciocutaneous dorsal cubital flap
was the option for the end coverage.
We emphasize the versatility of these flaps, its easy ejecution,
the minimal aesthetic sequel and the early rehabilitation beginning,
so we obtain the best functional restitution for the patient.
tendons, vessels and nerves. These injuries need the adequate
reconstructive treatment and the safe coverage which
lets to slide the tendons and it gives a safe protection to neurovascular
structures. The fasciocutaneous flap based in perforator
branches of the ulnar artery brings skin, fat and fascia
enough over the exposed tissues in the dorsal or volar surface
of the wrist.
We report four cases of traumatic lesions in soft tissues of the
wrist, in all of them the fasciocutaneous dorsal cubital flap
was the option for the end coverage.
We emphasize the versatility of these flaps, its easy ejecution,
the minimal aesthetic sequel and the early rehabilitation beginning,
so we obtain the best functional restitution for the patient.
Palabras clave (ES):
compleja
Cobertura
fasciocutánea
Perdida
de
sustancia
Reconstrucción
Colgajo
Injerto
Herida
Muñeca
Resumen (EN)
Traumatic soft tissue loss in wrist usually involves
tendons, vessels and nerves. These injuries need the adequate
reconstructive treatment and the safe coverage which
lets to slide the tendons and it gives a safe protection to neurovascular
structures. The fasciocutaneous flap based in perforator
branches of the ulnar artery brings skin, fat and fascia
enough over the exposed tissues in the dorsal or volar surface
of the wrist.
We report four cases of traumatic lesions in soft tissues of the
wrist, in all of them the fasciocutaneous dorsal cubital flap
was the option for the end coverage.
We emphasize the versatility of these flaps, its easy ejecution,
the minimal aesthetic sequel and the early rehabilitation beginning,
so we obtain the best functional restitution for the patient.
tendons, vessels and nerves. These injuries need the adequate
reconstructive treatment and the safe coverage which
lets to slide the tendons and it gives a safe protection to neurovascular
structures. The fasciocutaneous flap based in perforator
branches of the ulnar artery brings skin, fat and fascia
enough over the exposed tissues in the dorsal or volar surface
of the wrist.
We report four cases of traumatic lesions in soft tissues of the
wrist, in all of them the fasciocutaneous dorsal cubital flap
was the option for the end coverage.
We emphasize the versatility of these flaps, its easy ejecution,
the minimal aesthetic sequel and the early rehabilitation beginning,
so we obtain the best functional restitution for the patient.
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