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指尖离断的“转移皮瓣”技术。附21例报告

["Reposition-flap" technique in amputation of the finger tip. Apropos of a series of 21 cases].

作者信息

Foucher G, Braga Da Silva J, Boulas J

出版信息

Ann Chir Plast Esthet. 1992 Aug;37(4):438-42.

PMID:1306974
Abstract

The authors review 21 cases of a so-called "reposition-flap" technique for finger tip injuries consisting of simple reposition when no vessels can be found for replantation. This technique is combined with palmar soft tissue excision and advancement of a local flap to cover the bone providing blood supply and good sensitivity. The mean age in the 19 patients was 34 years. The Weber test was an average of 6 mm in the 17 patients with more than 2 years of follow-up. A moderate nail hook deformity was noted in 24% and cold intolerance in 28.5%.

摘要

作者回顾了21例针对指尖损伤的所谓“复位皮瓣”技术的病例,该技术在无法找到用于再植的血管时采用单纯复位。此技术结合了手掌软组织切除和局部皮瓣推进,以覆盖骨骼,提供血供并具有良好的感觉功能。19例患者的平均年龄为34岁。在17例随访超过2年的患者中,Weber试验平均为6毫米。24%的患者出现中度指甲钩畸形,28.5%的患者存在不耐寒情况。

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