Department of Plastic and Reconstructive Surgery, West Wing, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK.
J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):776-81. doi: 10.1016/j.bjps.2010.08.032. Epub 2010 Sep 23.
Fingertip amputations are a common injury in both adults and children. Replantation with revascularisation provides the gold standard result but is not always possible due to lack of expertise, degree of injury or patient factors. Perionychial grafts harvested from the amputated digit tip, anatomically restored and supported by a local flap are already known to be an effective option in the treatment of adult fingertip amputations. Such procedures can be performed by surgeons familiar with local flap techniques, can result in nail apparatus survival even with greater degrees of tissue injury and do not require prolonged protection or immobilisation. We present a consecutive series of four adults and four children who underwent perionychial grafts with flap support, to report the range of nail apparatus outcomes and to demonstrate this technique's relative utility in children.
指尖离断伤在成人和儿童中都很常见。再植和血运重建是金标准治疗方法，但由于缺乏专业知识、损伤程度或患者因素，并非总是可行。从离断指尖切取的甲床皮瓣，通过解剖复位和局部皮瓣支撑，已经被证明是成人指尖离断伤的有效治疗选择。熟悉局部皮瓣技术的外科医生可以进行此类手术，即使组织损伤程度更大，也可以保留甲床，而且不需要长时间保护或固定。我们报告了一系列连续的 4 例成人和 4 例儿童接受甲床皮瓣加皮瓣支撑的病例，以展示指甲结构的不同结局，并说明该技术在儿童中的相对优势。
