Thanik Vishal, Shah Ajul, Chiu David
Institute of Plastic and Reconstructive Surgery, New York University, New York, NY.
Institute of Plastic and Reconstructive Surgery, New York University, New York, NY.
J Hand Surg Am. 2017 Dec;42(12):1040.e1-1040.e7. doi: 10.1016/j.jhsa.2017.09.011.
Fingertip amputation is the most common amputation encountered by hand surgeons. Treatment decisions are multifactorial, based on mechanism, level of injury, tissue loss, associated injuries, and patient preference, among others. In this article, we present use of the thenar flap in combination with bone graft and split-thickness nail bed graft to address the tripartite loss of distal phalanx, soft tissue, and nail bed. This method allows for a full-length and functional reconstructed fingertip that is aesthetically satisfactory and does not require microsurgical techniques.
指尖离断是手外科医生最常遇到的离断类型。治疗决策是多因素的，基于损伤机制、损伤平面、组织缺损、合并损伤以及患者偏好等因素。在本文中，我们介绍了采用大鱼际皮瓣联合骨移植和断层甲床移植来解决远节指骨、软组织和甲床的三联缺损。该方法可实现全长且功能良好的指尖重建，外观令人满意，且无需显微外科技术。
