指端缺损的急诊岛状皮瓣修复

目的介绍8种指岛状皮瓣对指端缺损创面的修复,并探讨其相关手术适应证。方法应用指神经血管束VY岛状推进皮瓣、拇指尺背侧动脉逆行皮瓣、指动脉背侧支逆行皮瓣、改良Moberg皮瓣、指动脉逆行皮瓣、Hueston皮瓣、指筋膜脂肪翻转瓣、指总神经血管束蒂双翼皮瓣等8种皮瓣修复79例82指指端缺损。结果手指外形和功能均取得了令人满意的结果。结论这些指岛状皮瓣适宜指端缺损的修复。

Emergency repair of finger soft tissue loss with island flaps

OBJECTIVE: To introduce the applications of a series of digital island flaps to the repair of finger and/or fingertip defects and explore the indications. METHODS: A total of 79 cases (82 digits) were treated with different flaps, including (1) the digital neurovascular pedieled V-Y advancement flap; (2) the reversed dorsoulnar arterial flap of the thumb; (3) the reversed digital arterial dorsal branch flap; (4) the modified Moberg flap; (5) the reversed digital arterial flap; (6) the Hueston flap; (7) the homodigital adiposfascial turnover flap and the twin neurovascular island flaps. RESULTS: Satisfactory results were obtained in digital appearance and function. CONCLUSIONS: These hoinodigital island flaps were particularly helpful for repair of finger and/or fingertip defects.