CAJ | 학술논문

目的探索双足趾皮瓣瓦合修复全手指套脱伤的可行性.方法对20具尸体标本右中指建立全手指套脱伤模型,将创面分为掌侧和背侧两部分,背侧创面应用带足背皮瓣的第二趾甲背皮瓣覆盖,掌侧创面应用对侧足带足背皮瓣的第二趾胫侧皮瓣覆盖,两皮瓣瓦合后修复整个手指创面.结果 20例尸体标本中指全手指套脱伤一次手术完成了对创面、指腹和指甲缺损的修复,修复后手指保留原长度,外形美观,与对侧正常手指外形相似,明显克服了第二趾甲皮瓣修复手指指腹膨大、颈部狭窄等缺点.双足第二趾均能够提供足够大小皮瓣来覆盖手指掌背侧的创面.结论带足背皮瓣的第二趾甲背皮瓣和对侧足带足背皮瓣的第二趾胫侧皮瓣瓦合修复全手指套脱伤的手术方式具有可行性.
목적 탐색쌍족지피판와합수복전수지투탈상적가행성.방법 대20구시체표본우중지건립전수지투탈상모형,장창면분위장측화배측량부분,배측창면응용대족배피판적제이지갑배피판복개,장측창면응용대측족대족배피판적제이지경측피판복개,량피판와합후수복정개수지창면.결과 20례시체표본중지전수지투탈상일차수술완성료대창면、지복화지갑결손적수복,수복후수지보류원장도,외형미관,여대측정상수지외형상사,명현극복료제이지갑피판수복수지지복팽대、경부협착등결점.쌍족제이지균능구제공족구대소피판래복개수지장배측적창면.결론 대족배피판적제이지갑배피판화대측족대족배피판적제이지경측피판와합수복전수지투탈상적수술방식구유가행성.
Objective To explore the feasibility of using combined double second toe flaps for repairing degloving injuries of the entire finger.Methods Degloving injury of the entire finger was created to the right middle finger in 20 fresh cadaveric specimens.The wound was divided into the dorsal and volar aspects.The dorsal wound was repaired by the second toe dorsal nail-skin flap along with dorsalis pedis flap,while the volar one was repaired by the second toe tibial flap along with dorsalis pedis flap.The two flaps were sutured together to cover the entire finger.Results Wound coverage and restoration of the pulp and nail were accomplished in one operation in all the right middle fingers.The length of the finger was preserved.The appearance of the reconstructed fingers was satisfactory,resembling that of a normal finger.It overcame the limitations of a second toe wrap around flap that presents a bulky pulp and narrow neck of the reconstructed finger.The second toe flaps from both feet could be extended to the dorsalis pedis flap and thus were large enough to repair the degloving injury of the entire finger.Conclusion It is feasible to cover a completely degloved finger by transferring second toe dorsal nail-skin flap with dorsalis pedis flap and contralateral second toe tibial flap with dorsalis pedis flap.