Research Institute of Orthopedics, the Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, 312001, China.
Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, 312001, China.
J Int Med Res. 2022 Feb;50(2):3000605221082892. doi: 10.1177/03000605221082892.
This study investigated the surgical method and therapeutic effect of retrograde island flap bridge transfer of the adjacent phalangeal artery combined with vascular pedicle tubular skin grafting to repair finger pulp defects. From June 2008 to May 2020, 21 fingers (19 patients) were repaired using this method. The postoperative flap survival rate and complications, and the clinical effect, were evaluated. All flaps survived, and all patients were followed-up for 12 to 46 months. The static two-point discrimination (2PD) was 7 to 11 mm, no apparent complications were observed in the donor area and the McIndoe cold intolerance symptom severity (CISS) scores indicated mild severity. The Michigan hand outcome questionnaire (MHQ) indicated that all patients were satisfied with their overall hand appearance and function. Results were excellent in 15 cases and good in 4 cases, according to the Dargan function evaluation (DFE). It is safe and effective to repair finger pulp defects with a retrograde island flap bridge transfer of the adjacent phalangeal artery combined with vascular pedicle tubular skin grafting. This skin flap has the advantages of simple severing, good texture and concealed donor area, which is convenient for early postoperative functional exercise of the finger.
本研究探讨了逆行岛状皮瓣桥接邻指指动脉吻合带蒂管状皮瓣移植修复指腹缺损的手术方法及疗效。2008 年 6 月至 2020 年 5 月，采用该方法修复 21 指（19 例）。评估术后皮瓣成活率及并发症，临床疗效。所有皮瓣均存活，所有患者均随访 12 至 46 个月。静态两点辨别觉（2PD）为 7 至 11mm，供区无明显并发症，麦克因多冷不敏感症状严重程度（CISS）评分显示为轻度。密歇根手功能问卷（MHQ）表明所有患者对其手部整体外观和功能均满意。根据 Dargan 功能评估（DFE），结果为优 15 例，良 4 例。逆行岛状皮瓣桥接邻指指动脉吻合带蒂管状皮瓣移植修复指腹缺损安全有效。该皮瓣切取简便，质地良好，供区隐蔽，便于术后早期手指功能锻炼。
