Yu Guang, Lei Hong-Yu, Guo Shuang, Yu Hao, Huang Jian-Hua
Department of Hand and Foot Surgery, Kangyi Hospital of Guyong, Dongguan 523047, Guangdong Province, China.
Chin J Traumatol. 2011 Apr 1;14(2):126-8.
The degloving injuries of the digits and palm remain a persistent challenge. We used an antero- lateral thigh flap to treat an 18-year-old, right-handed male worker with degloving injuries of the index, middle and ring fingers. The flap was designated to wrap the entire circumference of three fingers sustaining degloving injury and to form mitten-hand. The total lengths of the distal phalanxes of three fingers were retained almost complete. The donor defect was covered with split-thickness skin graft. Three months after the first operation, roentgenograms revealed terminal phalanxex resorption in three injured fingers, and the surgical syndactyly between the middle and ring finger was separated at the same time. One month later, the syndactyly between the index and middle fingers was also separated. Good coverage of the soft tissue defects with good function and appearance was achieved. Therefore, we considered that the length of the degloved finger could be preserved using free flap.
手指和手掌的脱套伤仍然是一个持续存在的挑战。我们使用股前外侧皮瓣治疗一名18岁的右利手男性工人，其示指、中指和环指发生脱套伤。该皮瓣被设计用于包裹三根发生脱套伤手指的整个圆周，形成连指手套样手。三根手指远节指骨的总长度几乎完整保留。供区缺损用中厚皮片覆盖。首次手术后三个月，X线片显示三根受伤手指远节指骨吸收，同时中指和环指之间的手术性并指被分开。一个月后，示指和中指之间的并指也被分开。实现了软组织缺损的良好覆盖，功能和外观良好。因此，我们认为使用游离皮瓣可以保留脱套手指的长度。
