Katz Ryan D
Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD 21218, USA.
J Hand Surg Am. 2013 Jun;38(6):1226-33. doi: 10.1016/j.jhsa.2013.03.025.
The value of the human fingertip is incalculable. More than just aesthetic, the fingertip is an instrument through which we navigate our environment and acquire information. All too often, fingertip reconstruction is either not attempted or attempted without adhering to the fundamental principle of "replacing like with like." Through detailed description and case examples, this article highlights the power and utility of the anterograde homodigital neurovascular island flap in fingertip reconstruction. This single-stage flap can reliably resurface large soft tissue defects with sensate glabrous skin.
人类指尖的价值无可估量。指尖不仅仅具有美学意义，它还是我们在周围环境中活动并获取信息的工具。很多时候，指尖重建要么根本没有尝试，要么在没有遵循“以相似组织替换相似组织”这一基本原则的情况下进行尝试。通过详细描述和实例，本文强调了顺行同指神经血管岛状皮瓣在指尖重建中的作用和实用性。这种单阶段皮瓣能够可靠地修复伴有感觉功能的无毛皮肤的大面积软组织缺损。
