Koegel A M, Banducci D R, Kahler S H, Hauck R M, Manders E K
Department of Surgery, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey 17033, USA.
J Hand Surg Am. 1995 Jul;20(4):679-82. doi: 10.1016/S0363-5023(05)80291-6.
Though the use of fillet flaps salvaged from damaged digits is a well-established technique to obtain soft tissue coverage for the badly injured hand, the sensibility of these flaps has not been evaluated. We examined a series of four patients who underwent digital fillet flaps following hand trauma. Static two-point discrimination measurements of the injured hand and the contralateral hand showed that all four patients retained sensibility in the fillet flap that was equal to or better than the intact skin surrounding the flap. In some cases, the sensibility of the flap was equal to the sensibility in the corresponding contralateral fingertips. No patients had complaints regarding the function of their fillet flaps as sensate coverage of major soft tissue defects.
尽管使用从受损手指切取的鱼际皮瓣来为严重受伤的手部提供软组织覆盖是一种成熟的技术，但这些皮瓣的感觉功能尚未得到评估。我们检查了4例手部创伤后接受手指鱼际皮瓣移植的患者。对伤手和对侧手进行静态两点辨别觉测量，结果显示，所有4例患者鱼际皮瓣的感觉功能均得以保留，且等同于或优于皮瓣周围的正常皮肤。在某些病例中，皮瓣的感觉功能等同于对侧相应指尖的感觉功能。作为主要软组织缺损的感觉性覆盖，没有患者对其鱼际皮瓣的功能提出抱怨。
