Al-Qattan M M, Al Mohrij S A
King Saud University, Riyadh, Saudi Arabia; Natinal Guard Health Affairs, Riyadh, Saudi Arabia.
Department of Surgery, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia.
Int J Surg Case Rep. 2019;60:221-223. doi: 10.1016/j.ijscr.2019.06.016. Epub 2019 Jun 13.
The concept of 'spare-part' flaps in hand reconstruction is most commonly applied using finger fillet flaps to cover dorsal or volar hand defects. In this paper, we introduce the concept of utilization of spare-part finger fillet flaps in a cross-finger fashion.
The technique is demonstrated in two case reports. In both cases, there was one finger that was severely crushed requiring amputation. The bones from that finger were removed and the fillet finger flap was utilized to reconstruct a complex defect in an adjacent digit. Immediate post-operative physiotherapy was employed and flap division was done 17-18 days later. Both patients were satisfied with the outcome and returned back to work as manual workers.
Differences between previous techniques / types of cross-finger flaps and the current spare-part fillet cross-finger flap technique are discussed.
We introduce the concept of utilization of spare-part finger fillet flaps in a cross-finger fashion.
手部重建中“备用”皮瓣的概念最常用于采用手指鱼际皮瓣来覆盖手背或手掌缺损。在本文中，我们介绍以交叉手指方式利用备用手指鱼际皮瓣的概念。
在两份病例报告中展示了该技术。在这两个病例中，均有一根手指严重挤压伤需截肢。去除该手指的骨骼，利用鱼际手指皮瓣重建相邻手指的复杂缺损。术后立即进行物理治疗，17 - 18天后进行皮瓣断蒂。两名患者对结果均满意，并作为体力劳动者重返工作岗位。
讨论了以往交叉手指皮瓣技术/类型与当前备用鱼际交叉手指皮瓣技术之间的差异。
我们介绍了以交叉手指方式利用备用手指鱼际皮瓣的概念。
