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SU1149955A1 - Method of plasty of foot defect in free transplantation of foot segment on hand - Google Patents

Method of plasty of foot defect in free transplantation of foot segment on hand Download PDF

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Publication number
SU1149955A1
SU1149955A1 SU833628191A SU3628191A SU1149955A1 SU 1149955 A1 SU1149955 A1 SU 1149955A1 SU 833628191 A SU833628191 A SU 833628191A SU 3628191 A SU3628191 A SU 3628191A SU 1149955 A1 SU1149955 A1 SU 1149955A1
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SU
USSR - Soviet Union
Prior art keywords
foot
segment
transplantation
skin
defect
Prior art date
Application number
SU833628191A
Other languages
Russian (ru)
Inventor
Георгий Агасиевич Степанов
Ренат Сулейманович Акгурин
Андрей Андреевич Ширяев
Евгений Юрьевич Шибаев
Original Assignee
Всесоюзный научный центр хирургии АМН СССР
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Priority to SU833628191A priority Critical patent/SU1149955A1/en
Application granted granted Critical
Publication of SU1149955A1 publication Critical patent/SU1149955A1/en

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Abstract

СПОСОБ ПЛАСТИКИ ДЕФЕКТА СТОПЫ ПРИ СВОБОДНОЙ ТРАНСПЛАНТАЦИИ СЕГМЕНТА СТОПЫ НА КИСТЬ путем кожной аутопластики, отличающийс  тем, что, с целью предупреждени  рубцевани  трансплантата, после трансплантации сегмента стопы формируют свод ее, а дефект стопы закрывают кожным лоскутом с подкожной клетчаткой и мышцей с осевым кровоснабжением, при этом сосуды лоскута анастомозируют с сосудами, выделенными при трансплантации сегмента стопы .METHOD OF PLASTIC DENTAL STOPE IN FREE TRANSFORMATION OF THE SEGMENT OF THE STOP ON THE BODY by skin autoplasty, characterized by the fact that, in order to prevent scarring of the graft, after the transplantation of the foot segment, the arch is formed, the foot defect is closed with a piece of skin, and the skin is replaced with the skin. In this case, the flap vessels anastomose with the vessels isolated during the transplantation of the foot segment.

Description

са елsa ate

Изобретение относитс  к медицине, а именно к травматологии и ортопедии.This invention relates to medicine, namely to traumatology and orthopedics.

Цель изобретени  - предупреждение рубцеванк  трансплантата.The purpose of the invention is to prevent scar transplant.

Способ осуществл ют следующим образом .The method is carried out as follows.

После удалени  трансплантата оставшиес  на Стопе культи донорских сосудов- тыльной артерии и тыльной медиальной подкожной вены стопы - выдел ют на прот жении , клиппируют, готов т к наложению микроанастомозов, 8-образно на уровне метаэпифизов сохранных 1 и 1У плюсневых костей провод т лавсановый шовный материал (двойные лавсановые нити № 6 - 2-3 циркул ции, или специальную лавсановую ленту), швы-ст жки при зав зывании узлов должны обеспечивать сужение стопыAfter removal of the graft, the remaining stump of the donor vascular-dorsal artery and dorsal medial saphenous vein at the Foot is separated during clipping, clipped, prepared for the imposition of microanastomoses, 8-figuratively at the level of the metaepiphysis of the 1 and 1 mesenchymal bones, lavsan symphysis of the labyrinth symphysis of the preserved 1 and 1 oval bones of the plusus bones are laid using laval symphysis lesions and the laval symphysis of the preserved 1 and 1 ua of the metatarsal lymph nodes are stained with laval symphysis vein. (double polyester filaments No. 6 - 2-3 circulations, or a special polyester tape), stitches-straps when tying knots should provide narrowing of the foot

и минимальную (5-8 мм) боковую подвижность плюсневых костей. Соответственно величине дефекта выкраиваюаг и выдел ют кожный лоскут с подлежащей клетчаткой иand minimal (5-8 mm) lateral mobility of the metatarsal bones. According to the size of the defect, cutting out the skin flap with the underlying fiber and

мышцей в области тела с осевым кровоснабженнем (торакодорзальный лоскут на одноименньгх сосудах, паховый лоскут на надчревных сосудах). Сосудистую ножку лоскута пересекают, лоскут перенос т на стопу , под операционным микроскопом выполн ют микроанастомозы сосудов стопы и лоскута , снимают клипсы - включают в кровообращение сосудистую систему лоскута, моделируют м гкие ткани лоскута, накладывают швы на кожу с формированием полноценных опорных поверхностей на тыле и на уровне поперечного свода стопы, первично ущивают наглухо донорский дефект в области забора лоскута.muscle in the area of the body with an axial blood supply (thoracodorsal flap on the same vessels, inguinal flap on the epigastric vessels). The vascular pedicle of the flap is crossed, the flap is transferred to the foot, micro-anastomoses of the vessels of the foot and the flap are performed under an operating microscope, clips are removed — the vascular system of the flap is included in the circulation, the soft tissues of the flap are simulated, sutures are applied to the skin to form full support surfaces on the back and at the level of the transverse arch of the foot, a donor defect in the area of the flap intake is initially impacted.

Claims (1)

СПОСОБ ПЛАСТИКИ ДЕФЕКТА СТОПЫ ПРИ СВОБОДНОЙ ТРАНСПЛАНТАЦИИ- СЕГМЕНТА СТОПЫ НА КИСТЬ путем кожной аутопластики, отличающийся тем, что, с целью предупреждения рубцевания трансплантата, после трансплантации сегмента стопы формируют свод ее, а дефект стопы закрывают' кожным лоскутом с подкожной клетчаткой и мышцей с осевым кровоснабжением, при этом сосуды лоскута анастомозируют с сосудами, выделенными при трансплантации сегмента стопы.METHOD FOR FOOT DEFECT PLASTIC FOR FREE TRANSPLANTATION - FOOT SEGMENT TO BRUSH by skin autoplasty, characterized in that, in order to prevent scar transplantation, a vault is formed after transplantation of the foot segment, and the foot defect is closed with a skin flap with subcutaneous muscle tissue and subcutaneous tissue. while the flap vessels anastomose with the vessels isolated during the transplantation of a segment of the foot. (( С©C © О1O1 СИ >SI>
SU833628191A 1983-07-21 1983-07-21 Method of plasty of foot defect in free transplantation of foot segment on hand SU1149955A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU833628191A SU1149955A1 (en) 1983-07-21 1983-07-21 Method of plasty of foot defect in free transplantation of foot segment on hand

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU833628191A SU1149955A1 (en) 1983-07-21 1983-07-21 Method of plasty of foot defect in free transplantation of foot segment on hand

Publications (1)

Publication Number Publication Date
SU1149955A1 true SU1149955A1 (en) 1985-04-15

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
SU833628191A SU1149955A1 (en) 1983-07-21 1983-07-21 Method of plasty of foot defect in free transplantation of foot segment on hand

Country Status (1)

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SU (1) SU1149955A1 (en)

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Брайен Б. О. Микрососудиста восстановительна хирурги . М., 1981, с. 257-266. *

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