Khouri R K, Diehl G J
Division of Plastic Surgery, Washington University School of Medicine, St. Louis, MO 63110.
J Hand Surg Am. 1992 Jul;17(4):714-8. doi: 10.1016/0363-5023(92)90322-g.
A nonreplantable complete degloving injury to the small finger of a young woman was treated with the immediate microsurgical transfer of a second-toe wrap-around flap. One year after the operation, the donor foot was free of symptoms, and the reconstructed finger had an excellent cosmetic appearance, a range of motion of 0/90 degrees at both the metacarpophalangeal and the proximal interphalangeal joints, and a two-point discrimination of 6 mm. In selected patients, when the degloved skin envelope cannot be revascularized and when the skeletal and tendinous units are still intact, an immediate second-toe wrap-around flap may be a good alternative to amputation.
一名年轻女性的小指发生不可再植的完全脱套伤，采用即刻显微外科移植第二趾甲皮瓣进行治疗。术后一年，供足无症状，再造手指外观极佳，掌指关节和近端指间关节的活动度均为0/90度，两点辨别觉为6毫米。在特定患者中，当脱套的皮肤包膜无法再血管化且骨骼和肌腱单位仍完整时，即刻进行第二趾甲皮瓣移植可能是替代截肢的良好选择。
