[长手指推进式指尖同指神经血管岛状皮瓣。附32例报告]
[Advancement fingertip homodigital neurovascular island flaps of long fingers. About 32 cases].
作者信息
Hamdi M F
机构信息
Service d'orthopédie, CHU F. Bourguiba, Monastir, Tunisie.
出版信息
Chir Main. 2011 Apr;30(2):105-9. doi: 10.1016/j.main.2011.02.001. Epub 2011 Mar 23.
AIM
Evaluation of reconstruction results using a homodigital neurovascular island flap so as to recover long fingers loss fingertip.
PATIENTS AND METHODS
This was a retrospective study of 32 fingertip-flaps of long fingers practiced on 31 patients. They were young people (mean age: 28 years), often male (77.5%), and manual workers in 55%. The loss fingertip was traumatic in 87%. The fingertip reconstruction has been urgently assured, except in three initially-treated whitlow cases.
RESULTS
Four criteria value were used to value the results of coverage: Aesthetic, sensitive, functional, and socio-professional. We obtained good results in 72%.
CONCLUSION
The homodigital neurovascular island flap is a simple and reproducible technique. It's an excellent method for fingertip reconstruction in Allen type II and III. Despite of some complications, in touch with the initial trauma, this surgery gives back a useful sensitivity and a good aesthetic aspect of the fingertip.
目的
评估采用同指神经血管岛状皮瓣的重建结果，以恢复长手指指尖缺损。
患者与方法
这是一项对31例患者实施的32例长手指指尖皮瓣的回顾性研究。患者为年轻人（平均年龄：28岁），男性居多（77.5%），55%为体力劳动者。87%的指尖缺损为创伤性。除3例最初治疗的脓性指头炎病例外，均紧急进行了指尖重建。
结果
采用四个标准值评估覆盖结果：美学、感觉、功能和社会职业。72%的病例取得了良好结果。
结论
同指神经血管岛状皮瓣是一种简单且可重复的技术。它是Allen II型和III型指尖重建的极佳方法。尽管存在一些并发症，但与初始创伤相比，该手术恢复了指尖有用的感觉和良好的美学外观。
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