Tupper J, Miller G
J Hand Surg Br. 1985 Jun;10(2):183-4. doi: 10.1016/0266-7681(85)90011-7.
The volar V-Y plasty is a well accepted method of management for transverse fingertip amputations. It has been suggested by some authors and assumed by some surgeons that fingertip sensation is nearly normal following the procedure. Sixteen patients with twenty fingertip injuries in our series reported an average estimate of sensitivity of 73% of normal. There was diminished sensation to testing by two-point discrimination and/or von Frey monofilament testing in all fingertips when compared to the contralateral digit. Eight patients (twelve fingertips) reported hypersensitivity, particularly cryalgia. We conclude that sensation is not normal in almost all fingertips treated by V-Y plasty for transverse amputations.
掌侧V-Y皮瓣成形术是一种被广泛认可的治疗横行指尖离断的方法。一些作者提出并被一些外科医生认为，该手术后指尖感觉近乎正常。在我们的系列研究中，16例患者共20处指尖损伤，报告的平均感觉灵敏度估计为正常的73%。与对侧手指相比，所有指尖在两点辨别试验和/或用von Frey单丝试验检测时感觉均减退。8例患者（12处指尖）报告有感觉过敏，尤其是冷痛。我们得出结论，对于横行离断伤采用V-Y皮瓣成形术治疗的几乎所有指尖，感觉都不正常。
