Foucher G, Pajardi G
Service SOS Main, Strasbourg, France.
Ann Chir Plast Esthet. 1996 Jun;41(3):227-34.
Distal finger amputations could be responsible for prolonged time off work and disability. Although delayed healing is the simplest method, a deep defect with exposed skeleton or tendon is an indication for a flap to provide cover with good padding and discrimination. Local flaps are the first choice and selection is based on a number of parameters, the most important of which is the real possibility of advancement. Although V-Y flaps are sufficient to cover a guillotine amputation, a very large defect requires more sophisticated techniques like such as two-pedicle or single-pedicled island flaps.
手指远端截肢可能导致长时间缺勤和残疾。尽管延迟愈合是最简单的方法，但存在骨骼或肌腱外露的深部缺损则表明需要采用皮瓣来提供良好的填充和感觉功能覆盖。局部皮瓣是首选，其选择基于多个参数，其中最重要的是推进的实际可能性。虽然V-Y皮瓣足以覆盖切割伤截肢，但非常大的缺损需要更复杂的技术，如双蒂或单蒂岛状皮瓣。
