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.

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

  • WANG Tian-liang, JU Ji-hui, ZHAO Qiang, LI Jian-ning, CHENG He-yun, WANG Qiang, HOU Rui-xing
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Abstract

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.

Key words

Fingers / Toes / Foot / Degloving injury / Surgical flaps

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WANG Tian-Liang, JU Ji-Hui, DIAO Jiang, LI Jian-Ning, CHENG He-Yun, WANG Jiang, HOU Rui-Xin. Repair of class I degloving injuries of fingers with dorsal and tibial flaps of the second toe[J]. Chinese Journal of Clinical Anatomy. 2013, 31(1): 108-111

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