Wagner Till, Slater Nicholas, Ulrich Dietmar
Department of Plastic and Reconstructive Surgery, Radboud University Hospital, Nijmegen, The Netherlands.
Eur J Plast Surg. 2016;39:69-72. doi: 10.1007/s00238-015-1164-4. Epub 2015 Nov 14.
A 23-year-old male student presented to our clinic with a traumatic complex ring avulsion of his right dominant index finger. Clinical evaluation revealed a complete distal amputation of the DIP joint with a laceration of the soft tissue at the middle phalanx and a rupture of the FDP-2-tendon far proximally. We hereby present the patient's clinical outcome after reconstruction with a distally based extended DMCA-II flap. To our own knowledge, this is the first report of an extended distally based DMCA flap for coverage of a class IVd ring avulsion injury in combination with autologous amputate skin transplantation.
Level V, therapeutic study.
一名23岁男性学生因右手优势示指复杂创伤性环形撕脱伤前来我院就诊。临床评估显示,远侧指间关节完全离断,中节指骨软组织裂伤,指深屈肌腱-2在近端远处断裂。在此,我们报告该患者采用远端蒂延长的第二掌背动脉岛状皮瓣(DMCA-II皮瓣)重建后的临床结果。据我们所知,这是首例关于远端蒂延长的DMCA皮瓣联合自体截肢皮肤移植用于覆盖IVd级环形撕脱伤的报道。
V级,治疗性研究。