Lemmon Joshua A, Janis Jeffrey E, Rohrich Rod J
Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Plast Reconstr Surg. 2008 Sep;122(3):105e-117e. doi: 10.1097/PRS.0b013e3181823be0.
After studying this article, the participant should be able to: 1. Understand the anatomy of the fingertip. 2. Describe the methods of evaluating fingertip injuries. 3. Discuss reconstructive options for various tip injuries.
The fingertip is the most commonly injured part of the hand, and therefore fingertip injuries are among the most frequent injuries that plastic surgeons are asked to treat. Although microsurgical techniques have enabled replantation of even very distal tip amputations, it is relatively uncommon that a distal tip injury will be appropriate for replantation. In the event that replantation is not pursued, options for distal tip soft-tissue reconstruction must be considered. This review presents a straightforward method for evaluating fingertip injuries and provides an algorithm for fingertip reconstruction.
在研读本文后，参与者应能够：1. 了解指尖的解剖结构。2. 描述评估指尖损伤的方法。3. 讨论各种指尖损伤的重建方案。
指尖是手部最常受伤的部位，因此指尖损伤是整形外科医生最常被要求治疗的损伤类型之一。尽管显微外科技术已能够实现甚至非常远端的指尖离断再植，但远端指尖损伤适合再植的情况相对少见。如果不进行再植，则必须考虑远端指尖软组织重建的方案。本综述提出了一种评估指尖损伤的简单方法，并提供了指尖重建的算法。
