Jeon Byung-Joon, Yang Jae-Won, Roh Si Young, Ki Sae Hwi, Lee Dong Chul, Kim Jin Soo
Department of Plastic and Reconstructive Surgery, Gwang-Myeong Sung-Ae General Hospital, Gyeonggii-do 423-711, Republic of Korea.
Department of Plastic and Reconstructive Surgery, Gwang-Myeong Sung-Ae General Hospital, Gyeonggii-do 423-711, Republic of Korea.
Injury. 2013 Mar;44(3):356-60. doi: 10.1016/j.injury.2013.01.021. Epub 2013 Jan 23.
Injuries that cause soft tissue defects could threaten the function and viability of the involved digit. Reconstruction of such defects can be challenging and requires careful consideration in restoring both the aesthetic and functional deficit. The purpose of this review is to describe appropriate reconstructive technique using various free tissue transfers. According to the location and the size of a defect, a proper reconstructive option is indicated. Owing to the specialized mechano-sensory property of its volar soft tissue, fingertip injury, when significant defects exist, are reconstructed using specialized free flaps with appropriate histological and functional similarities. Composite tissue including bone may be required in selected cases. Additional procedures, such as secondary skin graft or division of the flap, should be done after several weeks of the first operation. Refinements and improvements in free tissue transfer allow an expanse of reconstructive options for soft tissue defect in the digit.
导致软组织缺损的损伤可能会威胁到受累手指的功能和存活能力。此类缺损的重建具有挑战性，在恢复美学和功能缺陷方面需要仔细考虑。本综述的目的是描述使用各种游离组织移植的合适重建技术。根据缺损的位置和大小，选择合适的重建方案。由于手指掌侧软组织具有特殊的机械感觉特性，当存在明显缺损时，指尖损伤采用具有适当组织学和功能相似性的特殊游离皮瓣进行重建。在某些情况下可能需要包括骨骼的复合组织。首次手术后几周应进行额外的手术，如二期植皮或皮瓣分割。游离组织移植技术的改进和完善为手指软组织缺损提供了广泛的重建选择。
