Colgajo de perforante de segunda arteria metacarpiana de flujo reverso como cobertura de zona donante de colgajo en cometa
| datacite.rights | http://purl.org/coar/access_right/c_16ec | spa |
| dc.contributor.advisor | Fiorillo González, Álvaro Andrés | |
| dc.contributor.advisor | Consuegra Machado, José Rafael | |
| dc.contributor.author | Villate Hernández, Andrés Leonardo | |
| dc.date.accessioned | 2023-02-06T14:23:06Z | |
| dc.date.available | 2023-02-06T14:23:06Z | |
| dc.date.issued | 2023 | |
| dc.description.abstract | La reconstrucción de lesiones en la mano, espeficamente en el pulgar y primera comisura, son un reto reconsturctivo en la cirugia de mano. Dentro del arsenal quirúrgico se ha utilizado el colgajo de la primera arteria metacarpiana dorsal, sin embargo, se han observado alteraciones en la funcionalidad del área donante en el dorso del dedo índice, lo cual usualmente se cubre con injertos de espesor total. Para enfrentar esta complicación, describimos el uso de un segundo colgajo basado en la segunda arteria metacarpiana dorsal para el cierre del área donante incial. MATERIALES Y METODOS: Se presentan tres pacientes con lesiones traumáticas en el pulgar, entre los cuales se encuentra la exposicion de estructuras vitales para su funcionalidad como nervios, vasos, tendones o hueso. A dichos pacientes se les realizó el colgajo neurovascular en isla basado de la primera arteria metacarpiana dorsal, posteriormente se realizó un segundo colgajo basado en perforantes de la segunda arteria metacarpiana dorsal para el cierre del área donante. Finalmente el cierre de la segunda zona donante se realizó de manera primaria. | spa |
| dc.description.abstract | Thumb and first-web injuries are reconstructive challenges. first dorsal metacarpal artery flap is one of the available options in the surgical arsenal. However, donor site morbidity and complications in the index finger have been observed. to address this, we present a second flap based on the second dorsal metacarpal artery for primary donor site closure. MATERIALS AND METHODS: We present 3 patients with thumb traumatic injuries, with noble tissue exposure (i.e. nerves, tendon, vessels, bone), using a first dorsal metacarpal artery island flap and a second flap based on the second dorsal metacarpal artery perforators. Finally, second donor site wound closure was performed primarily | eng |
| dc.format.mimetype | spa | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/11806 | |
| dc.language.iso | spa | spa |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Ciencias de la Salud | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
| dc.rights.accessrights | info:eu-repo/semantics/restrictedAccess | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Amputación traumática | spa |
| dc.subject | Pulgar | spa |
| dc.subject | Colgajo | spa |
| dc.subject | Reconstrucción | spa |
| dc.subject | Colgajo arteria metacarpiana dorsal | spa |
| dc.subject | Thumb | eng |
| dc.subject | Traumatic amputation | eng |
| dc.subject | Reconstruction | eng |
| dc.subject | Dorsal metacarpal artery flap | eng |
| dc.title | Colgajo de perforante de segunda arteria metacarpiana de flujo reverso como cobertura de zona donante de colgajo en cometa | spa |
| dc.type.driver | info:eu-repo/semantics/other | spa |
| dc.type.spa | Otros | spa |
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| oaire.version | info:eu-repo/semantics/acceptedVersion | spa |
| sb.programa | Especialización en Cirugía Plástica, Reconstructiva y Estética | spa |
| sb.sede | Sede Barranquilla | spa |