Malshikare Vijay A
Jehangir Hospital, 32, Sassoon Road, Pune 411001, India.
Hand Surg. 2015;20(1):173-9. doi: 10.1142/S0218810415970035.
Allen type IV fingertip amputations were treated by a modified technique, when the replantation is difficult to be performed or not an option. The pre-existing technique involves nail bed grafting and local flap. In the modified technique, a free bone graft is added, bone and free nail bed repositioned and pulp reconstruction by local flap. This can be best described "graft reposition on flap" (GRF). GRF was found to be simple and cost effective. It allows preservation of finger length and a fully functional and cosmetically acceptable nail.
对于难以进行再植或不适合再植的艾伦IV型指尖离断伤，采用改良技术进行治疗。现有的技术包括甲床移植和局部皮瓣。在改良技术中，增加了游离骨移植，将骨和游离甲床重新定位，并通过局部皮瓣进行 pulp 重建。这可以最好地描述为“皮瓣上的移植物重新定位”（GRF）。发现GRF简单且具有成本效益。它能够保留手指长度以及功能完全正常且外观可接受的指甲。
