Ozaksar K, Toros T, Sügün T S, Bal E, Ademoğlu Y, Kaplan I
Hand and Microsurgery, Orthopaedics and Traumatology (EMOT) Hospital, Kahramanlar-Izmir, Turkey.
J Hand Surg Eur Vol. 2010 Feb;35(2):125-9. doi: 10.1177/1753193409337957. Epub 2009 Aug 17.
Eighteen finger pulp defects were reconstructed using a homodigital dorsal middle phalangeal neurovascular island flap procedure based on a single neurovascular pedicle preserving the length of the finger. All flaps survived and achieved adequate functional and cosmetic results. The mean follow-up time was 22 months. The mean value of static two-point discrimination test of the healed flaps was 7 mm and the mean value of moving two-point discrimination test was 5 mm. Range of motion was considered satisfactory in all reconstructed fingers except one, in which a 20 degree extension deficit at the proximal interphalangeal joint was observed. This flap represents a useful alternative for reconstruction of the fingers with large pulp defects.
采用基于单一神经血管蒂的同指背侧中节指骨神经血管岛状皮瓣修复术修复18例指腹缺损，保留手指长度。所有皮瓣均存活，功能和外观恢复良好。平均随访时间为22个月。愈合皮瓣静态两点辨别觉测试的平均值为7mm，动态两点辨别觉测试的平均值为5mm。除1例在近端指间关节处存在20°伸直受限外，其余所有再造指的活动度均令人满意。该皮瓣是修复大面积指腹缺损手指的一种有效替代方法。
