Tseng O F, Tsai Y C, Wei F C, Staffenberg D A
Department of Plastic and Reconstructive Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, Republic of China.
Ann Plast Surg. 1996 Jun;36(6):625-8. doi: 10.1097/00000637-199606000-00011.
The salvage rate of degloved amputation of the fingers is as low as 50%. This case report consists of a multiple-finger degloving amputation characterized by intact tendons, pulleys, and bone, but avulsed neurovascular bundles. After replantation, the range of motion of the fingers was nearly full. Protective-to-light touch sensation was obtained with transpositional digital nerve transfers. Grasp strength was 80% that of the uninjured side. In addition to good functional recovery, the aesthetic appearance obtained by replantation of the degloved skin was far better than that obtained by other reconstruction methods. A first web space flap was used to release a flexion contracture of the proximal interphalangeal joint of the middle finger.
手指脱套伤断指再植的成功率低至50%。本病例报告为多指脱套伤断指再植，其特点是肌腱、滑车和骨骼完整，但神经血管束撕脱。再植术后，手指活动范围接近正常。通过指神经转位获得了保护性至轻触觉。握力为健侧的80%。除功能恢复良好外，脱套皮肤再植所获得的美学外观远优于其他重建方法。采用第一掌背皮瓣松解中指近指间关节的屈曲挛缩。
