Cevik Kadir, Arik Atilla, Eskandari Metin Manouchehr
Department of Hand Surgery, Dışkapı Y. Beyazıt Training and Research Hospital, Ankara, Turkey.
Department of Hand Surgery, Muğla S. Koçman University Hospital, Muğla, Turkey.
J Hand Surg Eur Vol. 2023 Feb;48(2):144-149. doi: 10.1177/17531934221127860. Epub 2022 Oct 7.
We used bipedicle V-Y 'cup' flaps to reconstruct 13 consecutive volar oblique fingertip amputations encountered in a nearly 2-year period. All flaps survived completely with no bone protuberance, scarring or neuroma evident at the end of follow-up (mean, 7 months; range 4-13 months). Two of the 13 patients had moderate or severe tenderness, three had moderate or severe cold intolerance and two had noticeable hook nails. There were no significant (≥10°) flexion contracture in the interphalangeal joints. The mean static two-point discrimination score was 4 mm (range 3-6) and the modal Semmes-Weinstein monofilament test score was 3.6 g (range 3.2-4.2). All patients were satisfied with their surgical outcomes. The bipedicle V-Y 'cup' flap provides good results in terms of fingertip contour, padding and sensation, and has a low complication rate when used to treat volar oblique fingertip amputations. IV.
我们使用双蒂V-Y“杯状”皮瓣对在近2年期间连续遇到的13例掌侧斜行指尖离断伤进行修复。所有皮瓣均完全存活，随访结束时（平均7个月；范围4 - 13个月）未见明显骨突出、瘢痕或神经瘤。13例患者中有2例有中度或重度压痛，3例有中度或重度冷不耐受，2例有明显钩甲。指间关节无显著（≥10°）屈曲挛缩。静态两点辨别觉平均评分为4毫米（范围3 - 6），Semmes-Weinstein单丝试验模式评分平均为3.6克（范围3.2 - 4.2）。所有患者对手术效果均满意。双蒂V-Y“杯状”皮瓣在指尖外形、衬垫和感觉方面效果良好，用于治疗掌侧斜行指尖离断伤时并发症发生率低。四、
