CAJ | 학술논문

目的探讨第二趾甲背皮瓣与胫侧皮瓣瓦合修复手指中、末节脱套伤的治疗方法.方法 2008年3月至2011年9月,采用游离足第二趾甲背皮瓣瓦合对侧足第二趾胫侧皮瓣修复手指中、末节脱套伤11例11指,并进行了随访. 结果术后皮瓣全部成活,经过4～15个月随访,指背侧的趾甲背皮瓣及掌侧的趾胫侧皮瓣无明显萎缩,指腹饱满,指甲生长良好,指体外形良好,指腹感觉恢复满意,2例为S4,5例为S3,3例为S2,1例为S1,全部病例指背均恢复保护性感觉,手指功能正常,足部供区愈合好,无瘢痕增生,行走完全正常. 结论游离足第二趾甲背皮瓣瓦合对侧足第二趾胫侧皮瓣是修复手指中、末节脱套伤的一种理想方法.
목적 탐토제이지갑배피판여경측피판와합수복수지중、말절탈투상적치료방법.방법 2008년3월지2011년9월,채용유리족제이지갑배피판와합대측족제이지경측피판수복수지중、말절탈투상11례11지,병진행료수방. 결과 술후피판전부성활,경과4～15개월수방,지배측적지갑배피판급장측적지경측피판무명현위축,지복포만,지갑생장량호,지체외형량호,지복감각회복만의,2례위S4,5례위S3,3례위S2,1례위S1,전부병례지배균회복보호성감각,수지공능정상,족부공구유합호,무반흔증생,행주완전정상. 결론 유리족제이지갑배피판와합대측족제이지경측피판시수복수지중、말절탈투상적일충이상방법.
Objective To explore the treatment method with combined dorsal flap based on the second toe and tibial flap for repairing the finger distal degloving injury.Methods From March 2008 to September 2011,our department chose treatment with combined use of free dorsal flap based on the second toe and contralateral second toe tibial flap for repairing finger distal degloving injury.The 11 fingers in 11 cases were treated and followed up after surgery.Results The flaps in 11 cases all survived; The donor site with skin grafting successfully healed; The follow-up was 4-15 months,averaged of 6 months.There was not obvious atrophy for the toe dorsal flaps in the finger back side and toe tibial flaps in the palm side.The finger pulp was full,the nails grew well and the appearance of the fingers was good.There was satisfactory sensory function restoration for finger pulp,two cases for S4,five cases for S3,three cases for S2 and 1 case for S1.The protective sensation was restored in the finger back for all the cases; the finger function was restored to normal; the foot donor site was healing well without scarring.Walking was completely normal.Conclusion It is an ideal treatment with combined use of free dorsal flap based on the second toe and contralateral second toe tibial flap for repairing finger distal.