Graduate School, Tianjin Medical University, No.22 Qixiangtai Road, Tianjin 300070, China; The Department of Hand Surgery, The Second Hospital of Tangshan, No.21 Jianshe Road, Tangshan 063000, China.
The Department of Trauma, The Second Hospital of Tangshan, No.21 Jianshe Road, Tangshan 063000, China.
J Plast Reconstr Aesthet Surg. 2019 Apr;72(4):628-635. doi: 10.1016/j.bjps.2018.12.051. Epub 2019 Jan 9.
We described a treatment of fingertip avulsion injury by two periposition pedicled flaps, the reversed pedicle island flap of dorsal branch of proper digital artery and the cross-finger flap. From February 2009 to January 2017, 22 patients (22 fingers) with fingertip avulsion injury were treated with two periposition pedicled flaps, 14 male and 8 female, aged from 17 to 47 years (mean 32 ± 9 years). All of the patients were followed up more than 6 months after operations (mean 9.6 ± 2.6 months). All flaps survived completely. Compared with the traditional abdominal flaps, two periposition pedicled flaps had less pedicle division time. At last follow-up, the 2PD of the palmar part of the flaps, the TAM of the injured finger and the MHQ summary score of the two periposition pedicled flaps were much better than the traditional abdominal flaps. The reconstruction using two periposition pedicled flaps is a versatile treatment with better functions, less morbidity and better aesthetics. Level of evidence: Therapeutic, level III.
我们描述了一种通过两个毗邻皮瓣治疗指尖撕脱伤的方法，即指固有动脉背侧支逆行岛状皮瓣和邻指皮瓣。自 2009 年 2 月至 2017 年 1 月，我们采用两个毗邻皮瓣治疗了 22 例（22 指）指尖撕脱伤患者，男 14 例，女 8 例；年龄 17~47 岁，平均 32±9 岁。所有患者术后随访 6 个月以上（平均 9.6±2.6 个月）。所有皮瓣均完全存活。与传统腹部皮瓣相比，两个毗邻皮瓣的蒂部分离时间更短。末次随访时，皮瓣掌侧 2PD、患指 TAM 和两个毗邻皮瓣 MHQ 综合评分均明显优于传统腹部皮瓣。使用两个毗邻皮瓣的重建是一种功能更好、发病率更低、美学效果更好的通用治疗方法。证据等级：治疗性，III 级。
