Jiang Liang-Fu, Zhou Fei-Ya, Chi Zheng-Lin, Yu Qing, Chu Ting-Gang, Gao Wei-Yang
Department of Hand Surgery, the Second Affiliated Hospital of Wengzhou Medical College, Wenzhou 325027, Zhejiang, China.
Zhongguo Gu Shang. 2013 Aug;26(8):637-9.
To explore clinical characteristics and replantation methods of degloving injury of distal finger.
From 2004 to 2009,18 cases of 19 distal finger degloving were admitted, and included 14 males and 4 femals with an average age of 31 years old ranging from 18 to 51 years old. The distal finger degloving injury was divided into 3 types according to the different levels of degloveing digital artery and skin involving 6 fingers of type I, 10 fingers of type II, 3 fingers of type III. Among them, 3 cases of 4 fingers were failed to be replantaed due to severed injured digital artery, and 15 cases of 15 distal finger degloving injury were replanted with microsurgical technique.
Among 15 patients (15 fingers) conpleted the reimplant operation, 13 fingers were survived, 2 fingers were necrosis after operation. Thirteen survived fingers were followed up from 6 to 24 months (averaged 14 months). The appearance of injured fingers and nails obtained satisfactory results. According to Chinese Hand Surgery Society Criteria for function assessment replantation, the results were excellent in 9 cases, good in 3 cases and poor in 1.
Replantation of distal degloving injury is effective and it should strive for replantation.
探讨手指末节脱套伤的临床特点及再植方法。
2004年至2009年收治手指末节脱套伤19例18指，其中男14例，女4例，年龄18～51岁，平均31岁。根据脱套的指动脉及皮肤层次不同，将手指末节脱套伤分为3型，Ⅰ型6指，Ⅱ型10指，Ⅲ型3指。其中4指3例因指动脉损伤严重未能再植，15指15例采用显微外科技术再植。
15例（15指）完成再植手术，术后成活13指，坏死2指。13例成活指随访6～24个月，平均14个月，伤指外观及指甲情况均获满意效果。按中华医学会手外科学会断指再植功能评定标准评定，优9例，良3例，差1例。
手指末节脱套伤再植效果良好，应积极争取再植。
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