带蒂岛状皮瓣转移一期修复拇指严重外伤

报道从1985年1月以来,应用带蒂岛状皮瓣—期修复严重拇指外伤62例,共采用了76个皮瓣,其中29个皮瓣用于拇指再造,8个皮瓣用于修复拇指脱套伤,39个皮瓣用于修复拇指皮肤缺损。术后1例皮瓣部分坏死,2例轻度感染,其余均愈合良好,功能恢复较满意,讨论了这种手术的优点及手术操作要点。认为这是一种操作简单,效果好的手术方法。

PRIMARY REPALR OF SEVERE INJURIES OF THUMB BY TRANSFER OF PEDICLED ISLAND FLAP

Since 1985, 76 pedicled island flaps had been used for primary repair of skin defect of thumb and 62 flaps for reconstruction of thumb. Fifteen thumbs were reconstructed by 29 pedicled island flaps in which 14 from dorsum of middle phalanx of index and middle fingers, 12 reversed island flaps from forearm and 3 from dorsum of proximal phalanx of index fingers. Eight degloved injuries of thumbs were repaired by 8 reversed island flaps from forearm. Thirty-nine skin defects of thumbs were treated by pedicled island flaps in which 16 from dorsum of proximal phalanx of index finger and 23 from dorsum of middle phalanx of index and middle fingers.All of pedicled island flaps survived excep onw flap had partial neerosis and two had slight infection. The apperance and function of the thumbs were satisfactory. In this paper, the adventages of pedicled island flaps in repairing thumb injuries were introduced and the points required attention during the operation were also discussed.