分期岛状皮瓣：一种修复拇指损伤的新方法。

The staged island flap: a new method of repair for thumb injuries.

作者信息

Venkataswami R, Gnanasekaran T C

机构信息

Institute for Research and Rehabilitation of the Hand, Stanley Medical College, Madras, India.

出版信息

J Hand Surg Br. 1990 Nov;15(4):425-8. doi: 10.1016/0266-7681(90)90084-h.

DOI:10.1016/0266-7681(90)90084-h

PMID:2269831

Abstract

An island flap from the middle finger is described which can be used to cover a terminal wound on the thumb and the adjacent palmar and dorsal defects of the thumb. The flap is transferred in two stages: the first stage ensures good skin cover using a simple technique and the second stage is nerve repair, giving good sensory return with correct cortical representation. Since 1977, 64 repairs have been carried out using this island flap. The follow-up, results and complications are discussed.

摘要

本文描述了一种来自中指的岛状皮瓣，可用于覆盖拇指末端伤口以及拇指相邻的手掌和手背缺损。皮瓣分两期转移：第一期采用简单技术确保良好的皮肤覆盖，第二期进行神经修复，可实现良好的感觉恢复并具有正确的皮质代表区。自1977年以来，已使用该岛状皮瓣进行了64例修复手术。文中讨论了随访情况、结果及并发症。