指固有动脉神经蒂锯齿状皮瓣联合伤指指双侧蒂V-Y推进皮瓣修复手指末端皮肤软组织缺损

[Repair of skin and soft tissue defects at distal end of finger with serrated flap with digital proper artery and nerve pedicle combined with bilaterally pedicled V-Y advancement flap of the injured finger].

作者信息

Chang Shusen, Jin Wenhu, Wei Zairong, Sun Guangfeng, Wang Bo, Deng Chengliang, Tang Xiujun, Zeng Xueqin, Nie Kaiyu

机构信息

Department of Plastic Surgery and Burns, the Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2016 Apr;32(4):204-7. doi: 10.3760/cma.j.issn.1009-2587.2016.04.004.

DOI:10.3760/cma.j.issn.1009-2587.2016.04.004

PMID:27093931

Abstract

OBJECTIVE

To investigate the therapeutic effects of repair of skin and soft tissue defects at distal end of finger with serrated flap with digital proper artery and nerve pedicle combined with bilaterally pedicled V-Y advancement flap of the injured finger.

METHODS

Thirteen patients with skin and soft tissue defects at distal end of 13 fingers were hospitalized from September 2013 to January 2015. After debridement, the wound area of finger ranged from 1.2 cm × 0.8 cm to 1.8 cm × 1.5 cm. Serrated flap with digital proper artery and nerve pedicle combined with bilaterally pedicled V-Y advancement flap of the injured finger were used to repair the defect. The flaps were interruptedly sutured. The areas of bilaterally pedicled V-Y advancement flap and serrated flap with digital proper artery and nerve pedicle ranged from 0.52 to 1.11 and 2.60 to 5.23 cm(2,) respectively.

RESULTS

All flaps of 13 patients survived completely. The patients were followed up for 6 to 24 months. The color and texture of the flaps were good. After reconstruction, the finger tips were in round in shape. The appearance of the fingers was consistent with that of the normal fingers, and joint motility was normal. No hook-nail deformity or knuckle dysfunction was found. Sensation of the flaps was estimated as S4, and the distance of two-point discrimination ranged from 2 to 3 mm. The recovery of the joint motion function of the fingers was excellent.

CONCLUSIONS

Serrated flap with digital proper artery and nerve pedicle, combined with bilaterally pedicled V-Y advancement flap from the injured finger can repair the skin and soft tissue defects at distal end of finger with reliable blood supply and simple operative technic. It also could avoid the formation of deformity subsequent to a linear scar, and a satisfactory appearance with good function could be obtained.

摘要

目的

探讨指固有动脉神经蒂锯齿状皮瓣联合伤指指双侧带蒂V-Y推进皮瓣修复手指末端皮肤软组织缺损的治疗效果。

方法

2013年9月至2015年1月收治13例手指末端皮肤软组织缺损患者，共13指。清创后，手指创面面积为1.2 cm×0.8 cm至1.8 cm×1.5 cm。采用指固有动脉神经蒂锯齿状皮瓣联合伤指指双侧带蒂V-Y推进皮瓣修复缺损，皮瓣间断缝合。双侧带蒂V-Y推进皮瓣面积为0.52至1.11 cm²，指固有动脉神经蒂锯齿状皮瓣面积为2.60至5.23 cm²。