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成人离断指尖非显微外科再植新技术。

New technique for non-microsurgical reattachment of avulsed fingertips in adults.

作者信息

Han Dong, Li Qing-Feng

机构信息

Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Medical School of Shanghai Jiao Tong University, Shanghai, People's Republic of China.

出版信息

J Plast Surg Hand Surg. 2010 Nov;44(4-5):204-8. doi: 10.3109/02844311.2010.488462.

DOI:10.3109/02844311.2010.488462
PMID:21446817
Abstract

Abstract Fifteen patients (aged 21-45 years) with avulsion injuries to a fingertip were reviewed. We report a new technique, in which the subcutaneous pulp flap is combined with the cap technique of the nail complex, for avulsed fingertips in adults. The bone of the avulsed part is excised and the fat removed. The nail complex is preserved, and the subcutaneous pulp flap used to improve the take at the cap-nail complex. This technique is simple, safe, and cost and time effective. It is a good option for repair of an avulsed fingertip.

摘要

摘要 回顾了15例(年龄在21 - 45岁之间)指尖撕脱伤患者。我们报告了一种新技术,即皮下指腹皮瓣与甲复合组织帽技术相结合,用于成人指尖撕脱伤。切除撕脱部分的骨质并去除脂肪。保留甲复合组织,使用皮下指腹皮瓣来提高甲 - 甲床复合组织的成活率。该技术操作简单、安全,且具有成本效益和时间效益。它是修复指尖撕脱伤的一个良好选择。

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