指背静脉动脉化逆行岛状皮瓣修复指端缺损

Fingertip defect repaired with reverse arterialized venous dorsal digital island flap

目的 介绍一种修复指端缺损的新方法.方法 指背逆行岛状皮瓣通过指端的指动脉与其静脉吻合,形成静脉动脉化皮瓣修复指端缺损10例.结果 所有皮瓣均成活,外形满意.结论 该方法易操作,需一定的显微外科基础,为修复指端缺损提供一种新方法.

ve To introduce an operation for repairing fingertip defects. Methods The vascularity of the reverse dorsal digital island flap was augmented by performing an arteriovenous anastomosis between a dorsal vein in the flap and one of the proper digital arteries at the fingertip, ten flaps were used in ten patients for the reconstruction of their fingertip defects. Results All flaps were survived and the outline was good. Conclusion The method is easy except for the necessity of performing standard microvascular surgery. The flap may be a new operation for repairing fingertip defects.