母指多指症に対する浮遊母指を利用した on-top plasty の術中に血管攣縮を生じた 1 例
書誌事項
- タイトル別名
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- Angiospasm during Reconstruction of Polydactyly of the Thumb Using the Floating Thumb as a Pedicle Flap : A Case Report
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<p>The patient was a 1-year-old girl with ipsilateral polydactyly of the thumb, and hypoplasia of the thumb and thenar muscle. The radial thumb had no nail, and radiography revealed a proximal phalanx and metacarpal, but no distal phalanx. The ulnar thumb was a floating thumb, and a distal phalanx and an incomplete proximal phalanx were noted on radiography. On-top plasty was performed to reconstruct the morphology of the thumb and to preserve sensation. We transposed the ulnar floating thumb to the top of the radial thumb as a pedicle flap with the digital nerve and artery of the floating ulnar thumb. As angiospasm occurred during surgery, the operation was changed to a two-stage procedure. The postoperative course was uneventful, and function and morphology of the reconstructed thumb remain improved as of 2 years postoperatively. Radiography revealed bone union at the level of osteosynthesis. In such cases, hypoplasia of the vessels may warrant a two-stage procedure to reduce the risk of angiospasm and congestion.</p>
収録刊行物
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- 日本マイクロサージャリー学会会誌
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日本マイクロサージャリー学会会誌 32 (2), 91-95, 2019
日本マイクロサージャリー学会
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詳細情報 詳細情報について
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- CRID
- 1390845713077868544
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- NII論文ID
- 130007666841
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- ISSN
- 21859949
- 09164936
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可