Onode Ema, Takamatsu Kiyohito, Kazuki Kenichi, Nakamura Hiroaki
Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Department of Orthopaedic Surgery, Yodogawa Christian Hospital, Osaka, Japan.
JPRAS Open. 2022 Mar 8;32:111-115. doi: 10.1016/j.jpra.2022.02.006. eCollection 2022 Jun.
Different approaches to fingertip reconstructions are reported for cases in which microsurgical replantation is impossible. This report presents two cases of bipedicled digital artery perforator adiposal flaps for fingertip reconstruction after traumatic amputations. Adiposal flaps, including the radial and ulnar digital artery perforator vessels proximal to the distal interphalangeal joint, were elevated and turned to cover the fingertip defect. After donor-site skin closure, split-thickness skin was grafted onto the fingertip digital artery perforator adiposal flap. The technique is quick and easy to perform under loupe magnification and achieves good results in terms of healing, hand function, appearance, and patient satisfaction.
对于无法进行显微外科再植的病例，报告了不同的指尖重建方法。本报告介绍了两例采用双蒂指动脉穿支脂肪瓣进行创伤性截肢后指尖重建的病例。掀起包括近端指间关节近端的桡侧和尺侧指动脉穿支血管在内的脂肪瓣，并将其翻转以覆盖指尖缺损。供区皮肤闭合后，将刃厚皮片移植到指尖指动脉穿支脂肪瓣上。该技术在放大镜放大下操作快速简便，在愈合、手部功能、外观和患者满意度方面均取得了良好效果。
