Yang Jianyun, Wang Tao, Yu Cong, Gu Yudong, Jia Xiaotian
Department of Hand Surgery, Key Laboratory of Hand Reconstruction, Huashan Hospital, Fudan University, Ministry of Health, Shanghai, China.
Medicine (Baltimore). 2017 Feb;96(6):e6048. doi: 10.1097/MD.0000000000006048.
Fingertip injury commonly results in avulsion of the nail bed. For large area defects of the nail bed with distal phalanx exposure, methods for reconstruction of soft tissue defects are scarcely mentioned in the literature.From May 2014 to January 2016, 6 patients with large area defects of the nail bed with distal phalanx exposure were enrolled. A new surgical method, cross finger fascial flap combined with thin split-thickness toe nail bed graft, was applied in all patients.All the 6 patients were followed-up at least 3 months. Good blood supply and no infections were observed. The lengths of the thumb or fingers were preserved. Acceptable appearance and nail bed growth were noted. The donor sites showed no dysfunction or deformity.Cross finger fascial flap combined with thin split-thickness toe nail bed graft is a new and rewarding surgical method to reconstruct large area defect of the nail bed with distal phalanx exposure.
指尖损伤常导致甲床撕脱。对于伴有远节指骨外露的大面积甲床缺损，文献中很少提及软组织缺损的重建方法。2014年5月至2016年1月，纳入6例伴有远节指骨外露的大面积甲床缺损患者。所有患者均采用一种新的手术方法，即邻指筋膜瓣联合薄断层趾甲床移植。6例患者均至少随访3个月。观察到血供良好且无感染。拇指或手指长度得以保留。外观及甲床生长情况尚可。供区未出现功能障碍或畸形。邻指筋膜瓣联合薄断层趾甲床移植是一种重建伴有远节指骨外露的大面积甲床缺损的新的、有效的手术方法。
