[指动脉背侧支逆行筋膜蒂岛状皮瓣修复手指皮肤缺损]
[Repair of defect on finger skin with reverse fascial pedicle island flap of dorsal branch of digital artery].
作者信息
Zhao Min, Shao Xinzhong, Tian Dehu, Zhang Jichun, Han Jiuhui, Zhao Feng
机构信息
Department of Hand Surgery, the 3rd Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P. R. China.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Jun;19(6):453-4.
OBJECTIVE
To introduce the surgical procedure and indication of the reverse fascial pedicle island flap of the digital artery dorsal branches in repairing finger skin defect.
METHODS
By use of the dorsal branches of the digital artery as the pedicel, the reverse island flap was designed. The skin defects of the proximal interphalangeal joint and beyond in 35 cases (42 fingers) were repaired and the joint or extensor tendon was reconstructed simultaneously. Donor site was primarily closed or a skin graft was used. The flap size ranged from 1.0 cm x 2.5 cm to 1.5 cm x 3.5 cm.
RESULTS
Thirty-five patients were followed up 3 months to 1 year, all the flaps survived. The two-point discrimination was between 6 mm and 10 mm. The function of interphalangeal joint was satisfactory.
CONCLUSION
These flaps have the advantages of an extended skin paddle and a versatile pivot point on the phalanx, and they allow coverage of wide and distal defects.
目的
介绍指动脉背侧支逆行筋膜蒂岛状皮瓣修复手指皮肤缺损的手术方法及适应证。
方法
以指动脉背侧支为蒂设计逆行岛状皮瓣，修复35例（42指）近指间关节及以上部位的皮肤缺损，同时重建关节或伸肌腱。供区直接缝合或植皮。皮瓣面积为1.0 cm×2.5 cm至1.5 cm×3.5 cm。
结果
35例患者随访3个月至1年，皮瓣全部成活。两点辨别觉为6～10 mm。指间关节功能满意。
结论
该皮瓣具有皮瓣面积大、在指骨上旋转点灵活的优点，可用于覆盖广泛的远侧缺损。
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