CAJ | 학술논문

目的探讨半(足母)趾甲瓣移植再造手指末节效果.方法通过对64例69指手指末节完全和部分缺损、末节皮肤撕脱、皮管术后整形、再植失败等采用以第一跖底、跖背或趾动脉为蒂切取部分趾甲连同趾腹皮瓣或部分趾甲修复,根据供足创面大小采用第一跖背、第二趾动脉、腓动脉穿支、跖底动脉皮瓣覆盖,观察术后手指及足部供区外形. 结果经随访3个月～4年,手指指腹饱满有弹性,趾、指甲床间愈合好,再造甲襞形成的甲沟略浅,外形逼真,感觉均恢复,两点辨别觉4～5mm,供足趾丰满,似原趾外形,患者对再造手指和足趾外形均满意. 结论半(足母)趾甲瓣是修复手指末节缺损的理想方法.
목적 탐토반(족모)지갑판이식재조수지말절효과.방법 통과대64례69지수지말절완전화부분결손、말절피부시탈、피관술후정형、재식실패등채용이제일척저、척배혹지동맥위체절취부분지갑련동지복피판혹부분지갑수복,근거공족창면대소채용제일척배、제이지동맥、비동맥천지、척저동맥피판복개,관찰술후수지급족부공구외형. 결과 경수방3개월～4년,수지지복포만유탄성,지、지갑상간유합호,재조갑벽형성적갑구략천,외형핍진,감각균회복,량점변별각4～5mm,공족지봉만,사원지외형,환자대재조수지화족지외형균만의. 결론 반(족모)지갑판시수복수지말절결손적이상방법.
Objective To discuss the treatment of half hallux toenail flap transplantation for reconstruction of the distal segment finger defect. Methods Based on using the first plantar/dorsal metatarsal artery, or toe artery as pedicle to cut off partial toenail together with toe abdomen flap or partial toenail to repair 64 cases which include 69 fingers with distal segment complete and partial defect,the distal skin avulsion,skin tube in postoperative plastic,replantation failure and so on.Depending on the size of the donor foot wound use the first dorsal metatarsal artery,second toe artery,the perforating branch of peroneal artery or plantar metatarsal artery flap to cover the wound, and then observe the appearance of the finger and foot donor site after operation. Results The finger pulp was full and elastic,nail bed of the toe was well healing,nail groove which originated from the reconstructed nail fold was shallow,the appearance wos realistic,all feelings were recover,two-point discrimination was 4 to 5 millimeter,the donor toe was plump like the original one in appearance,patients were all satisfied with the reconstructed finger and the toe shape,after a follow-up from 3 month to 4 years. Conclusion Half hallux toenail flap transplantation is an effective way to repair the distal segment finger defect.