Hao Ruizheng, Wang Hui, Huo Yongxin, Liu Wei, Wang Wei
Department of Hand Surgery, The Second Hospital of Tangshan, Tangshan, China.
Department of Hand Surgery, The Second Hospital of Tangshan, Tangshan, China.
Hand Surg Rehabil. 2023 Apr;42(2):134-140. doi: 10.1016/j.hansur.2023.01.009. Epub 2023 Feb 2.
To investigate the curative effect of repairing digital degloving with flaps from the bilateral dorsal branch of the proper digital artery of the same finger.
Twenty-three patients with fingertip degloving injury treated with flaps from the bilateral dorsal branch of the proper digital artery of the same finger in our hospital from February 2020 to March 2022 were retrospectively included. Active finger range of motion, cold intolerance, pain on visual analogue scale and patient satisfaction were evaluated.
There were 3 cases of flap blister and 2 of vascular crisis after the operation, all of which healed after symptomatic treatment. All the other flaps and skin grafts survived. Follow-up ranged between 6 and 25 months (mean, 13.8 months). The skin flap was full in shape and soft in texture. Incidence of cold intolerance was low in the palmar flaps and dorsal flaps, and finger range of motion recovered well. The technique relieved pain, and patients were satisfied with the results.
Flaps from the bilateral dorsal branch of the proper digital artery of the same finger were effective for repair of fingertip degloving. The technique easy to implement, and can repair large defects; the repaired finger shows good function and appearance.
探讨采用同一手指双侧指固有动脉背侧支皮瓣修复手指脱套伤的疗效。
回顾性纳入2020年2月至2022年3月在我院采用同一手指双侧指固有动脉背侧支皮瓣治疗的23例指尖脱套伤患者。评估手指主动活动范围、冷不耐受情况、视觉模拟量表疼痛评分及患者满意度。
术后有3例皮瓣出现水泡，2例发生血管危象，经对症处理后均愈合。其余皮瓣及植皮全部成活。随访6～25个月（平均13.8个月）。皮瓣外形饱满，质地柔软。掌侧皮瓣和背侧皮瓣冷不耐受发生率低，手指活动范围恢复良好。该技术缓解了疼痛，患者对结果满意。
同一手指双侧指固有动脉背侧支皮瓣修复指尖脱套伤疗效确切。该技术操作简便，可修复较大创面；修复后的手指功能及外观良好。
