Takeda Akira, Fukuda Rieko, Takahashi Tsuguharu, Nakamura Takeshi, Ui Kenji, Uchinuma Eiju
Department of Plastic and Reconstructive Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Aesthetic Plast Surg. 2002 Mar-Apr;26(2):142-5. doi: 10.1007/s00266-002-1470-7.
Ideally, treatment for fingertip injury should involve the least pain possible, using durable and sensate skin with due consideration to aesthetic aspects. This paper presents two cases of fingertip reconstruction through the use of thenar flaps and nail bed grafts. In either case, injury had been due to fingertip crushing and reconstruction was conducted immediately thereafter. A full-thickness nail bed with hyponychium and perionychium from the severed part was used for dorsal reconstruction and thenar flaps for finger pulp reconstruction. In both cases, the grafting was quite satisfactory and good soft-tissue healing was observed. Subsequent nail growth and adherence were good. The outcome was pleasing to both patients. Thus, the presented method may be considered quite satisfactory from aesthetic and functional recovery standpoints.
理想情况下，指尖损伤的治疗应尽可能减少疼痛，使用耐用且有感觉的皮肤，并充分考虑美学因素。本文介绍了两例通过使用大鱼际皮瓣和甲床移植进行指尖重建的病例。在这两例病例中，损伤均由指尖挤压所致，随后立即进行了重建。取自离断部分的带有甲下皮和甲周皮的全厚甲床用于背侧重建，大鱼际皮瓣用于指腹重建。在这两例病例中，移植均相当令人满意，观察到软组织愈合良好。随后指甲生长和附着情况良好。两名患者对结果都很满意。因此，从美学和功能恢复的角度来看，所提出的方法可能相当令人满意。
