观看视频地址:https://www.dxy.cn/bbs/newweb/pc/post/45741742
以下是视频截图:
机器翻译字幕,仅供参考:
Indications
应用指征
1、Transverse amputations, distal third of the nailbed. Bone exposed
1、横断,甲床远端三分之一,骨外露
2、Dorsal oblique amputations.The flap should be combined with an eponychium plasty
2、背侧斜行离断,皮瓣应结合指甲上皮成形术
Anatomy
解剖
The flap is based on the terminalbranches of both digital arteries
该皮瓣是基于双侧指动脉的末端分支
Outline
轮廓
The 'V’ incision should be slightly lateral to the projection of the lateral nail fold
文'V’切口应该在外侧甲皱襞投影的稍微外侧
projection /prəˈdʒekʃn/n. 估算,预测;投射
The apex of the V is on the DIP joint palmar crease
V的顶点在DIP关节掌折痕上
crease/kriːs/n. 折痕;折缝
If the 'V' is too narrow the flap will have anunpleasant shape
如果“V”太窄的皮瓣将有一个不美观的形状
Dissection
解剖
The bone is minimally debrided
骨头进行了最少程度的清创
Then the soft tissue is freed from the bone, till the insertion of the FDP tendon
然后将软组织从骨头中释放出来,直到指长屈肌腱的止点
flexor digital longus (FPL) tendon指长屈肌腱(FPL)
flexor pollicis longus (FPL) tendon拇长屈肌腱(FPL)
The skin is incised and the fibrous septa under the dermis are divided with the push cutting technique....
采用推切技术....切开皮肤,分离真皮下的纤维间隔
dermis/ˈdɜːrmɪs/n. 皮肤,真皮
fibrous septa纤维间隔
till the fat tissue is clearly visible and the skin margins open apart
直到脂肪组织清晰可见,皮肤边缘裂开
At this point the flap advances only few millimeters. In some cases this advancement might be enough.
此时皮瓣只向前移动了几毫米。在某些情况下,这种进步可能就足够了。
By applying gentle traction to the flap the residual septa hidden under the fat at the apex of the 'V'
通过轻柔的牵引皮瓣,残余的隔膜隐藏在脂肪的顶点“V”
... are divided with the push cutting technique. The flap will gain moreadavancement
...分与推切技术。皮瓣将获得更大的前移
The flap might gain almost 1 cm of advancement
皮瓣可以获得近1厘米的推进
The Skin can be closed on the pulp only if there is no tension...
只有在没有张力的情况下,皮才能闭合。
pulp/pʌlp/n. 纸浆;果肉;黏浆状物质
Leaving the pulp open does not represent a problem. The skin will reepithelielize
皮下组织裸露不代表什么问题。皮肤会重新产生上皮细胞
epithelielize 上皮化
The tip of the flap can be fixed with an hypodermic needle or a K-wire to the bone
皮瓣的尖端可以用皮下针或克氏针固定在骨上
hypodermic /ˌhaɪpəˈdɜːrmɪk/n. 皮下注射器;皮下注射adj. 皮下的;
But also sutured to the nailbed and the dorsal skin
而且还缝合在甲床和背部皮肤上
We never observed a hook nail deformity because of those sutures
我们从未观察到钩甲畸形因为这些缝合线
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