| Reconstruction of finger pulp defect with reversed fasciocutaneous island flap from same finger |
| |
| 作者姓名： | 卢耀军 洪光祥 徐南伟 胡智勇 邵磊 |
| |
| 作者单位： | Department of Hand Surgery Union Hospital of Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430022，China，Department of Hand Surgery，Union Hospital of Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430022，China，Department of Orthopedics，Second People's Hospital of Changzhou，Nanjing Medical College，Changzhou 213003，China，Department of Orthopedics，Second People's Hospital of Changzhou，Nanjing Medical College，Changzhou 213003，China，Department of Orthopedics，Second People's Hospital of Changzhou，Nanjing Medical College，Changzhou 213003，China |
| |
| 摘 要： | Objective:To investigate the clinical curative effect of reconstruction of finger pulp defect by anastomosis of reversed fasciocutaneous island flap with dorsal branch of the digital nerve of the same finger. Methods: The restoration of finger pulp defect with fasciocutaneous island flap from the same finger was conducted in 25 cases (30 fingers) from January 2002 to June 2003. Nine patients (11 fingers) whose flaps with dorsal branch of the digital nerve anastomosed with the digital inherent nerve around the surface of the wound were Group A and the others were Group B. The follow-up was carried out at 3 and 9 months after the operation to observe the shape of finger pulp and the sense restoration between two groups. Results: All flaps of 25 cases (30 fingers) survived. Three months after operation, the patients had fully grown finger pulps and recovered the superficial sensation and tactile sense of finger pulps. The two point discrimination on average was 5. 00 mm±0. 23 mm in Group A and 6.00 mm±0.30 mm in Group B. The difference between two groups was highly significant. Nine months later, their senses of finger pulps between two groups were recovered basically. Conclusions: The reversed fasciocutaneous island flap from the same finger is the first choice to reconstruct the finger pulp defect, and the anastomosis of dorsal branch of the digital nerve shall be determined according to the specific condition.
|
| 关 键 词： | 指腹缺损 吻合术 背侧支 显微外科 |
| 收稿时间： | 2006-07-24 |
Reconstruction of finger pulp defect with reversed fasciocutaneous island flap from same finger |
| |
| LU Yao-jun,HONG Guang-xiang,XU Nan-wei,HU Zhi-yong,SHAO Lei.Reconstruction of finger pulp defect with reversed fasciocutaneous island flap from same finger[J].Chinese Journal of Traumatology(English Edition),2007,10(2):82-85. |
| |
| Authors: | LU Yao-jun HONG Guang-xiang XU Nan-wei HU Zhi-yong SHAO Lei |
| |
| Institution: | 1. Department of Hand Surgery, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
2. Department of Orthopedics, Second People's Hospital of Changzhou, Nanjing Medical College, Changzhou 213003, China |
| |
| Abstract: | OBJECTIVE: To investigate the clinical curative effect of reconstruction of finger pulp defect by anastomosis of reversed fasciocutaneous island flap with dorsal branch of the digital nerve of the same finger. METHODS: The restoration of finger pulp defect with fasciocutaneous island flap from the same finger was conducted in 25 cases (30 fingers) from January 2002 to June 2003. Nine patients (11 fingers) whose flaps with dorsal branch of the digital nerve anastomosed with the digital inherent nerve around the surface of the wound were Group A and the others were Group B. The follow-up was carried out at 3 and 9 months after the operation to observe the shape of finger pulp and the sense restoration between two groups. RESULTS: All flaps of 25 cases (30 fingers) survived. Three months after operation, the patients had fully grown finger pulps and recovered the superficial sensation and tactile sense of finger pulps. The two point discrimination on average was 5.00 mm+/-0.23 mm in Group A and 6.00 mm+/-0.30 mm in Group B. The difference between two groups was highly significant. Nine months later, their senses of finger pulps between two groups were recovered basically. CONCLUSIONS: The reversed fasciocutaneous island flap from the same finger is the first choice to reconstruct the finger pulp defect, and the anastomosis of dorsal branch of the digital nerve shall be determined according to the specific condition. |
| |
| Keywords: | Surgical flaps Transplantation Microsurgery |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
