Snow J W
Hand Clin. 1985 Nov;1(4):685-8.
The use of volar advancement flaps is presented for volar oblique amputation of fingertips. Use of a mini-volar flap allows closure of a guillotine amputation that leaves no scar on the pad of the fingertip and has only to be elevated to the axis of rotation of the PIP joint. This procedure decreases the likelihood of dorsal necrosis over the middle phalanx, since the dorsal neurovascular bundle is not encroached upon.
本文介绍了掌侧推进皮瓣在指尖掌侧斜形离断伤中的应用。使用微型掌侧皮瓣可闭合切割伤断端,指尖掌面不留瘢痕,且仅需将皮瓣提升至近端指间关节旋转轴处。由于未侵犯背侧神经血管束,该手术可降低中节指骨背侧坏死的可能性。