Repair of class I degloving injuries of fingers with dorsal and tibial flaps of the second toe
WANG Tian-Liang, JU Ji-Hui, DIAO Jiang, LI Jian-Ning, CHENG He-Yun, WANG Jiang, HOU Rui-Xin
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (1) : 108-111.
Repair of class I degloving injuries of fingers with dorsal and tibial flaps of the second toe
Objective To explore the treatment of class I degloving injuries of fingers with the free wrap-around flap of the second toe and the tibial flap of the opposite second toe. Method From March, 2009 to June, 2012, our department used the free wrap-around flap of the second toe and the tibial flap of the opposite second toe to repair class I degloving Injuries of fingers in 13 cases. All caes were followed up. Results After 6~24 months of follow-up, flaps underwent no significant atrophy, reconstructing full pulps; fingers were in good shape With nails growing well. The two-point discrimination was 6 to 10mm. According to the functional evaluation criteria by the Hand Surgery Society of Chinese Medical Association, the functional results were satisfactory in all patients (excellent in 8 cases, good in 4 cases, and satisfactory in 1 case ), achieving an excellent and good rate of 92.3%. Donor sites of the toes healed well without scar contracture and no gait disturbance. Conclusion Using free wrap-around flaps of the second toe and tibial flaps of the opposite second toe to repair class I degloving Injuries of fingers is an ideal method.
Fingers / Toes / Foot / Degloving injury / Surgical flaps
[1] Urbaniak JR,Evans JP,Bright DS.Microvascular management of ring avulsion injuries
[J].J Hand Surg Am,1982,6(1):25-30.
[2] 侯瑞兴,冯连银,王海文,等.第二趾甲皮瓣修复手指中末节皮肤脱套伤
[J].中华手外科杂志,1999,15(4):240-241.
[3] 潘达德,顾玉东,侍德,等.中华医学会手外科学会上肢部分功能评定试用标准
[J].中华手外科杂志,2000,16(3):130-135.
[4] 巨积辉,刘跃飞,侯瑞兴,等.手指脱套性离断再植
[J].中华手外科杂志,2006,22(6):358-359.
[5] 马铁鹏,王斌,尹佳丽,等.超半环形指动脉逆行岛状皮瓣修复手指末节离断性脱套伤
[J].中华显微外科杂志,2008,31(3):202.
[6] 陈政,许亚军,芮永军,等.手指末节脱套伤伴甲床缺损的一期修复
[J].中华手外科杂志,2010,26(4):198-200.
[7] 周永宝,屠冠军.阴股沟皮瓣在治疗手指皮肤撕脱伤中的应用体会
[J].中国骨与关节损伤杂志,2008,23(11):950-951.
[8] 苏青红,高凤梅,邵新中,等.髂腹股沟皮瓣修复手指脱套伤
[J].中华手外科杂志,2011,27(2):128.
[9] Nazerani S, Motamedi MH, Nazerani T,et al. Treatment of traumatic degloving injuries of the fingers and hand: introducing the "compartmented abdominal flap"
[J]. Tech Hand Up Extrem Surg.2011,15(2):151-155.
[10]芮永军,施海峰,邱扬,等.不同构制的足 甲瓣修复手指脱套伤
[J].中华手外科杂志,2007,23(4):349-351.
[11]巨积辉,侯瑞兴,李雷,等.第二趾甲皮瓣修复手指中末节皮肤脱套伤
[J].中华创伤杂志,2008,24(3):220-221.
[12]石荣剑,孙峰,许立,等.断肢(指)再植术后的手功能康复
[J].实用手外科杂志,2010,24(3):220-221.
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