grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2024-183-4-64-69grekov-2448Research ArticleНАБЛЮДЕНИЯ ИЗ ПРАКТИКИOBSERVATION FROM PRACTICEУспешное наложение пахового лоскута на дефект тыльной стороны кисти у пациента пожилого возраста с сопутствующей патологиейSuccessful Groin Flap for Dorsal Hand Defect in Elderly Patient with ComorbidityHakamiA.HakamiA.

Alaa Hakami, Dr. of Sci. (Med.), FEBOPRAS, Oberarzt plastic surger

 

Alaa Hakami, Dr. of Sci. (Med.), FEBOPRAS, Oberarzt plastic surgery, University Hospital Magdeburg and Teaching assistant medical college, Jazan university

ralaa99@hotmail.comУниверситетская клиника Магдебурга и Медицинский Колледж по обучению младшего медицинского персонала, Джазанский УниверситетГерманияUniversity Hospital Magdeburg and Teaching assistant medical college, Jazan UniversityGermany20242706202418346469Copyright © Hakami A., 20242024Hakami A.Hakami A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2448

Лоскут из паховой области на ножке является эффективным и легко адаптируемым методом для закрытия ран на кисти и дистальном отделе предплечья. Этот метод обеспечивает надежные результаты и является менее сложным и трудоемким, чем свободная пересадка тканей. Несмотря на распространенное мнение о том, что пожилым пациентам следует избегать лечения методом пахового лоскута из-за риска тугоподвижности в плечевом суставе, мы получили успешные результаты лечения 93-летней женщины с сахарным диабетом 2 типа, артериальной гипертензией, ревматоидным артритом и двусторонними операциями на тазобедренном суставе в 2009 и 2007 годах. Немедленная мобилизация плеча и продолжительная физическая терапия на этапах созревания лоскута и отделения ножки были решающими факторами в достижении этих благоприятных результатов. Данный клинический случай произошел в отделении реконструктивно-пластической хирургии и хирургии кисти Университетской Клиники Магдебурга в Германии.

The pedicled groin flap is an effective and adaptable method for covering wounds on the hand and distal forearm. This approach offers reliable results and is less complex and time-consuming than free-tissue transfer. Despite the common belief that the groin flap should be avoided in elderly patients due to the risk of shoulder stiffness, we found success-ful outcomes in a 93-year-old woman with type 2 diabetes mellitus, arterial hypertension, rheumatoid arthritis, and a history of bilateral hip TEP surgeries in 2009 and 2007. Immediate shoulder mobilization and ongoing physical therapy during the flap maturation and pedicle division phases were crucial in achieving these favorable results. This case report was performed in Department of plastic, reconstruction and Hand surgery, University hospital Magdeburg, Germany.  

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The authors declare that there are no conflicts of interest present.