vibram five fingers outlet Skin and soft tissue ex

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Skin and soft tissue expansion in tendon and nerve repair applications

But there is the following disadvantages: ① flap quality difficult to control. ② to bring the corresponding function for the area and shape of damage. ③ Other long-term secondary limb fixed joint stiffness, contracture. ④ poor sensory flap. ⑤ skin and soft tissue repair and function of deep tendon reconstruction interval is too long. Clinical follow-up results in this group showed that the application of skin and soft tissue expansion flap formed, its structure, texture and sensory function with local soft tissue similar to normal skin. Good quality skin and soft tissue infestation hands full play to their motor function to provide a guarantee to avoid the traditional skin flap due to poor nutrition or nerve caused by poor blood supply to the flap ulceration, impatience and poor wound healing, wear and defects, and shortcomings of the above tendon release surgery postoperative effects of exercise and would maintain a negative impact. Since the expansion of the skin from normal skin near the site of injury, unlike the traditional method requires from a distance In addition,[link widoczny dla zalogowanych], the traditional methods of skin and soft tissue reconstruction to be first,[link widoczny dla zalogowanych], and then to wait several months before the implementation of deep tendon and nerve repair, an increase of cost of surgery and surgical period, but also adds a physical and mental pain of patients. Skin and soft tissue expansion will be applied to the tendon, nerve repair, skin and soft tissue expansion takes about 4 weeks to complete,[link widoczny dla zalogowanych], when the dilator removed skin and soft tissue coverage and tendon, nerve repair can be completed simultaneously, greatly reducing the treatment period. Good quality skin and soft tissue, the deep tendon, nerve healing or beneficial to both reduce the adhesion of tendon repair. If the expander implant position is reasonable, does not have any impact on the joints, even during water injection in the expander does not affect the joint activities, reducing the other traditional methods may lead to joint stiffness,[link widoczny dla zalogowanych], contracture complications. Dilator removed, due to the expansion of the fiber wall to form a smooth, rich in vascular tissue, the blood supply to the rich foundation bed of deep tendon and nerve tissue provides a good environment, tendons, nerves play a useful healing or regeneration role, while the formation of the expanded flap survival is also very beneficial to mouth. Therefore, the expansion of the fiber wall formed after addition of local flap rotation or transfer of part of the removal or release to be appropriate, shall be retained as far as possible. For the limb associated with major vascular injury, peripheral limb poor circulation should be used with caution in the technology, so as not to cause the expansion of local and finger pressure is more severe blood circulation disorders. Once that happens, the expansion should be inside the saline immediately retraced until the blood circulation improves. Strictly follow the principles of this group, no case of expansion of the skin blood circulation disorders. A huge range of skin scar, the technology should be used with caution, because the amount of available expanded skin there is a limit, if the expansion of scar formation after excision of the skin enough to cover the wound, the only force in the tension suture the wound, after will result in wound dehiscence or wound does not heal, it will seriously affect the function of tendon release after exercise; even have the additional flap or free skin to further address the problem of skin cover, and if so, will lose the application of the technology significance. In addition, the dilatation structure itself and the characteristics of the hand limited method described in this article only in the back of the hand, wrist and forearm to use. Complications in this group 8 patients,[link widoczny dla zalogowanych], atelectasis in 5 cases dilator (capsule), incomplete wound dehiscence in 2 cases (capsule), sensory branch of radial nerve palsy in 1 case, but no serious impact on treatment outcome. Therefore, their safety is reliable.
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