Application of two Y type of vein repair and reconstruction of 17 cases of superficial palmar arch.docVIP

 PAGE \* MERGEFORMAT 6 Application of two Y type of vein repair and reconstruction of 17 cases of superficial palmar arch Of: Chai Yi copper, Qijian Wu, Li Xueyuan, Wang Yang Jian, Chen Hong [Abstract] Objective To evaluate the two “Y”-type vein series treatment of superficial palmar arch repair and reconstruction of severe crush injury of the feasibility of hand. Methods 17 patients with severe hand injury, damage to the superficial palmar arch were treated forearm 2 “ Y “-type series repair and reconstruction of the superficial palmar venous arch. Results 17 patients after repair of the superficial palmar arch, referring to the body all survived, including 1 case of arterial crisis by improved after surgical exploration. patency Doppler examination, the hand functional recovery by the Chinese Medical Association Society of Hand Surgery Trial criteria evaluation of upper limb function assessment, excellent in 11 cases, good in 6 cases. Conclusion forearm 2 “Y” type of repair and reconstruction of the superficial palmar venous arch series, treatment, severe hand injury, could be better hand function and appearance. [Keywords:] vein graft, the superficial palmar arch, vascular repair Palm is often accompanied by severe crush injury carpal, metacarpal and phalanx of multiple fractures, severe soft tissue injury of the back of the palm, damage and defects of the superficial palmar arch, all that body integrity, color pale fingers and no blood supply. Our hospital with forearm 2 a “Y”-type series reconstruction of the superficial palmar venous arch, and achieved satisfactory results, are reported below. 1 Materials and Methods 1.1 General information on our hospital from May 2002 to August 2007, a total line of the forearm two “Y”-type vein series treatment of superficial palmar arch repair and reconstruction of severe crush injury hand in 17 cases, including 12 males and 5 females , aged 19 to 56 years, average 32 years old, his right hand in 9 c