CAJ | 학술논문

目的介绍应用示指背侧岛状皮瓣与游离趾腓侧皮瓣瓦合修复拇指套脱伤的临床方法.方法对9例残留甲床的拇指套脱伤患者,采用示指背侧岛状皮瓣与趾腓侧游离皮瓣瓦合进行修复.结果术后9例拇指瓦合皮瓣全部存活,随访时间为6个月至3年,皮瓣颜色、质地良好,拇指指甲生长良好,外形和功能满意,皮瓣两点分辨觉为8～10mm.供区示指及足趾植皮区愈合良好,无明显功能影响.结论示指背侧岛状皮瓣与游离趾腓侧皮瓣瓦合修复是治疗残留甲床的拇指套脱伤的一种较好方法.
목적 개소응용시지배측도상피판여유리지비측피판와합수복무지투탈상적림상방법.방법 대9례잔류갑상적무지투탈상환자,채용시지배측도상피판여지비측유리피판와합진행수복.결과 술후9례무지와합피판전부존활,수방시간위6개월지3년,피판안색、질지량호,무지지갑생장량호,외형화공능만의,피판량점분변각위8～10mm.공구시지급족지식피구유합량호,무명현공능영향.결론 시지배측도상피판여유리지비측피판와합수복시치료잔류갑상적무지투탈상적일충교호방법.
Objective To introduce the clinical application of dorsal island flap of the index finger combined with vascularized transfer of fibular pulp flap from the big toe to treat thumb degloving injuries. Methods There were 9 cases of degloved thumbs with intact nail bed in this series. A local island flap from dorsum of the index finger was transferred along with a free vaseularized fibular pulp flap from the big toe to cover the soft tissue defect. Results The patients were followed-up for 6 months to 3 years. All the survived,with excellent color and texture. Nail growth was near normal and appearance and function of the thumb was satisfactory. 2-PD was 8-10 nun. Wound and skin graft at the donor sites healed well and there was no functional impairment. Conclusion Combined transfer of dorsal island flap of the index finger and fibular side flap of the great toe was one of the best options to treat degloving injury of the thumb.